Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $108.67 / $124.97	Facility		$108.67	$108.67	$124.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $115.62 / $157.93	Professional		$108.67	$115.62	$157.93
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 $106.87 / $183.01 / $319.92	Professional		$106.87	$183.01	$319.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $318.72 / $510.86	Facility		$162.90	$318.72	$510.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $112.09 / $284.33	Professional		$98.83	$112.09	$284.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $133.78 / $232.42	Professional		$87.30	$133.78	$232.42
United Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $828.29 / $1,863.65	Facility		$322.68	$828.29	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $158.51 / $307.72	Professional		$127.38	$158.51	$307.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $116.68 / $116.68	Professional		$116.68	$116.68	$116.68