Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $85.12	Facility		$67.73	$67.73	$85.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $71.80 / $107.81	Professional		$67.73	$71.80	$107.81
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 $70.47 / $131.47 / $225.00	Professional		$70.47	$131.47	$225.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $132.02 / $425.61 / $682.18	Facility		$132.02	$425.61	$682.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $77.38 / $173.71	Professional		$67.70	$77.38	$173.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $83.84 / $175.44	Professional		$35.74	$83.84	$175.44
United Facility/Professional Facility Modifier Low / Median / High Price $828.29 / $828.29 / $1,863.65	Facility		$828.29	$828.29	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $106.64 / $196.27	Professional		$84.07	$106.64	$196.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $73.89 / $73.89	Professional		$73.89	$73.89	$73.89