Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.87 / $146.87 / $303.75	Facility		$146.87	$146.87	$303.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $189.46 / $275.69	Professional		$146.87	$189.46	$275.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $313.18 / $633.04	Facility		$81.94	$313.18	$633.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $92.51 / $170.14	Professional		$57.41	$92.51	$170.14
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $196.40 / $314.80	Facility		$89.07	$196.40	$314.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $109.00 / $255.77	Professional		$70.31	$109.00	$255.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $35.39 / $49.49	Professional		$24.11	$35.39	$49.49
United Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,179.77	Facility		$524.34	$524.34	$1,179.77
United Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $201.96 / $397.35	Professional		$69.45	$201.96	$397.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $213.40 / $213.40	Professional		$213.40	$213.40	$213.40