Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $50.20 / $109.05	Facility		$50.20	$50.20	$109.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $53.41 / $97.35	Professional		$50.20	$53.41	$97.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $992.38 / $1,377.82	Facility		$291.14	$992.38	$1,377.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $98.45 / $182.15	Professional		$52.35	$98.45	$182.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $389.54 / $624.36	Facility		$112.96	$389.54	$624.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $70.02 / $147.27	Professional		$61.27	$70.02	$147.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $67.19 / $115.92	Professional		$44.04	$67.19	$115.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.96 / $1,061.96 / $2,389.41	Facility		$1,061.96	$1,061.96	$2,389.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $82.80 / $159.94	Professional		$61.93	$82.80	$159.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $56.97	Professional		$56.97	$56.97	$56.97