Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $55.22 / $4,933.74	Facility		$55.22	$55.22	$4,933.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $72.93 / $100.60	Professional		$55.22	$72.93	$100.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $248.00 / $380.01	Facility		$91.72	$248.00	$380.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $97.32 / $187.03	Professional		$57.84	$97.32	$187.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.32 / $423.03 / $678.04	Facility		$154.32	$423.03	$678.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $180.71 / $233.47	Professional		$121.83	$180.71	$233.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $35.58 / $75.50	Professional		$22.64	$35.58	$75.50
United Facility/Professional Professional Modifier Low / Median / High Price $113.46 / $135.69 / $276.64	Professional		$113.46	$135.69	$276.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $233.47 / $233.47	Professional		$87.26	$233.47	$233.47