Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $127.04 / $186.23	Facility		$105.40	$127.04	$186.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $217.97 / $901.69	Professional		$105.40	$217.97	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $431.33 / $795.70	Professional		$257.68	$431.33	$795.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $1,691.52 / $2,711.20	Facility		$492.35	$1,691.52	$2,711.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $206.61 / $502.43	Professional		$131.47	$206.61	$502.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $105.60 / $179.91	Professional		$61.62	$105.60	$179.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,219.82 / $10,341.43 / $23,268.22	Facility		$2,219.82	$10,341.43	$23,268.22
United Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $192.14 / $451.84	Professional		$135.82	$192.14	$451.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $119.69 / $119.69	Professional		$119.69	$119.69	$119.69