Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.08 / $159.08 / $193.75	Facility		$159.08	$159.08	$193.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $168.86 / $245.88	Professional		$159.08	$168.86	$245.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.19 / $567.73 / $803.71	Facility		$223.19	$567.73	$803.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.33 / $266.25 / $428.91	Professional		$166.33	$266.25	$428.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $209.98 / $410.82 / $658.47	Facility		$209.98	$410.82	$658.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $173.80 / $344.41	Professional		$154.12	$173.80	$344.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $209.28 / $359.82	Professional		$41.77	$209.28	$359.82
United Facility/Professional Facility Modifier Low / Median / High Price $256.76 / $678.82 / $1,863.65	Facility		$256.76	$678.82	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $214.25 / $411.05	Professional		$168.43	$214.25	$411.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $197.11 / $197.11	Professional		$197.11	$197.11	$197.11