Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $143.88 / $169.96	Facility		$143.88	$143.88	$169.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $152.97 / $215.83	Professional		$143.88	$152.97	$215.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.19 / $671.17 / $940.64	Facility		$223.19	$671.17	$940.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $225.05 / $362.85	Professional		$146.19	$225.05	$362.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $177.06 / $346.41 / $555.24	Facility		$177.06	$346.41	$555.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $147.72 / $298.94	Professional		$135.19	$147.72	$298.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $188.60 / $335.70	Professional		$36.04	$188.60	$335.70
United Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $188.54 / $398.54	Professional		$142.18	$188.54	$398.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $138.16 / $138.16	Professional		$138.16	$138.16	$138.16