Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $316.23	Facility		$177.83	$177.83	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $389.05	Professional		$177.83	$234.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $977.24	Facility		$218.78	$691.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $478.63	Professional		$173.78	$295.12	$478.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $398.11 / $741.31	Facility		$134.90	$398.11	$741.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $380.19	Professional		$169.82	$186.21	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $131.83 / $213.80	Professional		$24.55	$131.83	$213.80
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 $194.98 / $234.42 / $457.09	Professional		$194.98	$234.42	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $239.88	Professional		$131.83	$190.55	$239.88