Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $76.17 / $87.60	Facility		$76.17	$76.17	$87.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $101.93 / $176.97	Professional		$76.17	$101.93	$176.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $306.29 / $633.04	Facility		$94.81	$306.29	$633.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $107.88 / $193.40	Professional		$64.15	$107.88	$193.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $152.59 / $244.58	Facility		$77.98	$152.59	$244.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $120.95 / $155.88	Professional		$80.63	$120.95	$155.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.55 / $191.33	Professional		$32.34	$42.55	$191.33
United Facility/Professional Facility Modifier Low / Median / High Price $252.18 / $252.18 / $252.18	Facility		$252.18	$252.18	$252.18
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $144.65 / $337.08	Professional		$80.06	$144.65	$337.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $121.98 / $160.82	Professional		$78.36	$121.98	$160.82