Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $126.42 / $149.12	Facility		$126.42	$126.42	$149.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $134.41 / $189.24	Professional		$126.42	$134.41	$189.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $944.71 / $1,310.27	Facility		$291.14	$944.71	$1,310.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $213.19 / $339.22	Professional		$127.93	$213.19	$339.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $205.12 / $455.88 / $730.69	Facility		$205.12	$455.88	$730.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $134.50 / $269.89	Professional		$118.62	$134.50	$269.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $177.54 / $305.14	Professional		$35.97	$177.54	$305.14
United Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $880.92 / $1,061.96	Facility		$264.08	$880.92	$1,061.96
United Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $167.42 / $321.33	Professional		$143.46	$167.42	$321.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $122.71 / $122.71	Professional		$122.71	$122.71	$122.71