Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $309.03	Facility		$70.79	$70.79	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $158.49	Professional		$70.79	$102.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $831.76 / $1,445.44	Facility		$213.80	$831.76	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $275.42	Professional		$74.13	$144.54	$275.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $457.09 / $851.14	Facility		$154.88	$457.09	$851.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $208.93	Professional		$74.13	$81.28	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $52.48 / $93.33	Professional		$18.20	$52.48	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $831.76	Facility		$302.00	$467.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $213.80	Professional		$89.13	$117.49	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $107.15	Professional		$58.88	$83.18	$107.15