Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.31 / $136.31 / $1,179.94	Facility		$136.31	$136.31	$1,179.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $141.88 / $177.18	Professional		$136.31	$141.88	$177.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $626.59 / $851.12	Facility		$216.49	$626.59	$851.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $233.76 / $357.17	Professional		$118.07	$233.76	$357.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $425.61 / $682.18	Facility		$195.36	$425.61	$682.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $123.48 / $295.32	Professional		$109.31	$123.48	$295.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $144.56 / $246.62	Professional		$36.04	$144.56	$246.62
United Facility/Professional Facility Modifier Low / Median / High Price $828.29 / $828.29 / $828.29	Facility		$828.29	$828.29	$828.29
United Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $181.61 / $373.08	Professional		$155.94	$181.61	$373.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Professional		$129.00	$129.00	$129.00