Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $197.40	Facility		$130.00	$130.00	$197.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.46 / $191.79	Professional		$130.00	$130.46	$191.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.06 / $571.38 / $789.33	Facility		$216.06	$571.38	$789.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $178.57 / $308.67	Professional		$123.64	$178.57	$308.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $249.20 / $399.42	Facility		$127.37	$249.20	$399.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $118.82 / $244.72	Professional		$110.90	$118.82	$244.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $157.18 / $265.63	Professional		$99.17	$157.18	$265.63
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 $112.07 / $156.30 / $321.88	Professional		$112.07	$156.30	$321.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $104.36 / $104.36	Professional		$104.36	$104.36	$104.36