Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $56.87 / $115.68	Facility		$45.68	$56.87	$115.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $62.11 / $100.47	Professional		$45.68	$62.11	$100.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $554.91 / $781.26	Facility		$77.55	$554.91	$781.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $90.55 / $186.50	Professional		$48.28	$90.55	$186.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $251.44 / $499.23 / $788.51	Facility		$251.44	$499.23	$788.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $112.32 / $160.06	Professional		$48.47	$112.32	$160.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $52.11 / $92.38	Professional		$27.43	$52.11	$92.38
United Facility/Professional Facility Modifier Low / Median / High Price $255.46 / $414.23 / $524.34	Facility		$255.46	$414.23	$524.34
United Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $82.02 / $160.80	Professional		$57.63	$82.02	$160.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $49.82 / $49.82	Professional		$49.82	$49.82	$49.82