Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.99 / $148.99 / $159.05	Facility		$148.99	$148.99	$159.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $171.91 / $269.17	Professional		$148.99	$171.91	$269.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $440.54 / $492.48	Facility		$141.35	$440.54	$492.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $96.23 / $181.11	Professional		$68.51	$96.23	$181.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $206.03 / $330.24	Facility		$94.57	$206.03	$330.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $107.45 / $265.87	Professional		$42.67	$107.45	$265.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $42.62 / $171.83	Professional		$29.30	$42.62	$171.83
United Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
United Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $210.32 / $323.37	Professional		$80.34	$210.32	$323.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $216.99 / $254.73	Professional		$128.12	$216.99	$254.73