Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $110.98 / $131.71	Facility		$110.98	$110.98	$131.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $110.98 / $167.21	Professional		$110.98	$110.98	$167.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $567.73 / $803.71	Facility		$216.49	$567.73	$803.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $172.05 / $286.32	Professional		$112.41	$172.05	$286.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $150.07 / $293.61 / $470.61	Facility		$150.07	$293.61	$470.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $114.74 / $235.61	Professional		$104.77	$114.74	$235.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $134.39 / $232.42	Professional		$89.85	$134.39	$232.42
United Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $146.04 / $271.35	Professional		$109.40	$146.04	$271.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $119.57	Professional		$119.57	$119.57	$119.57