Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $309.03	Facility		$67.61	$67.61	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $154.88	Professional		$67.61	$97.72	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $588.84 / $831.76	Facility		$213.80	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $239.88	Professional		$70.79	$138.04	$239.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $676.08	Facility		$123.03	$363.08	$676.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $173.78	Professional		$70.79	$77.62	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $51.29 / $89.13	Professional		$15.85	$51.29	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $831.76	Facility		$257.04	$346.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $190.55	Professional		$83.18	$107.15	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $102.33	Professional		$56.23	$79.43	$102.33