Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $309.03	Facility		$144.54	$144.54	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $323.59	Professional		$144.54	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $977.24	Facility		$257.04	$691.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $380.19	Professional		$144.54	$218.78	$380.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.12 / $549.54	Facility		$100.00	$295.12	$549.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $302.00	Professional		$138.04	$147.91	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $102.33 / $173.78	Professional		$22.91	$102.33	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $831.76	Facility		$302.00	$346.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $363.08	Professional		$141.25	$190.55	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $199.53	Professional		$107.15	$151.36	$199.53