Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $309.03	Facility		$128.82	$131.83	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $288.40	Professional		$128.82	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $575.44 / $812.83	Facility		$213.80	$575.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $371.54	Professional		$131.83	$218.78	$371.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $457.09 / $870.96	Facility		$158.49	$457.09	$870.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $275.42	Professional		$125.89	$138.04	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $77.62 / $141.25	Professional		$28.84	$77.62	$141.25
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 $144.54 / $173.78 / $338.84	Professional		$144.54	$173.78	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $181.97	Professional		$87.10	$125.89	$181.97