Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $80.31 / $101.75	Facility		$80.31	$80.31	$101.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $85.16 / $128.51	Professional		$80.31	$85.16	$128.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $987.85 / $1,377.82	Facility		$216.49	$987.85	$1,377.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $154.91 / $260.20	Professional		$84.00	$154.91	$260.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $171.29 / $383.13 / $614.09	Facility		$171.29	$383.13	$614.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $92.50 / $225.38	Professional		$80.93	$92.50	$225.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $110.28 / $194.44	Professional		$35.97	$110.28	$194.44
United Facility/Professional Facility Modifier Low / Median / High Price $435.79 / $828.29 / $1,863.65	Facility		$435.79	$828.29	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $128.99 / $234.02	Professional		$99.78	$128.99	$234.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Professional		$93.54	$93.54	$93.54