Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $407.38	Facility		$79.43	$162.18	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $213.80	Professional		$79.43	$117.49	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $660.69	Facility		$194.98	$467.74	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $380.19	Professional		$83.18	$165.96	$380.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $851.14 / $1,584.89	Facility		$288.40	$851.14	$1,584.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $354.81	Professional		$87.10	$93.33	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $61.66 / $109.65	Professional		$18.20	$61.66	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $831.76	Facility		$204.17	$346.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $302.00	Professional		$100.00	$141.25	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $123.03	Professional		$66.07	$95.50	$123.03