Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.79 / $299.79 / $344.76	Facility		$299.79	$299.79	$344.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $345.91 / $589.73	Professional		$255.51	$345.91	$589.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $964.00 / $1,797.78	Facility		$69.64	$964.00	$1,797.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $79.28 / $146.21	Professional		$48.48	$79.28	$146.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $168.71 / $270.42	Facility		$75.83	$168.71	$270.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $92.80 / $536.91	Professional		$59.87	$92.80	$536.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $41.53 / $90.86	Professional		$17.18	$41.53	$90.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,083.56 / $1,083.56 / $2,438.01	Facility		$1,083.56	$1,083.56	$2,438.01
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $386.20 / $762.77	Professional		$59.54	$386.20	$762.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $522.44 / $554.95	Professional		$59.54	$522.44	$554.95