Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.55 / $213.55 / $245.58	Facility		$213.55	$213.55	$245.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $227.41 / $311.64	Professional		$213.55	$227.41	$311.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.72 / $944.71 / $1,310.27	Facility		$292.72	$944.71	$1,310.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $307.58 / $554.11	Professional		$211.88	$307.58	$554.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $347.61 / $549.04	Facility		$175.08	$347.61	$549.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $208.52 / $460.55	Professional		$150.33	$208.52	$460.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $279.04 / $479.76	Professional		$36.04	$279.04	$479.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.96 / $1,061.96 / $2,389.41	Facility		$1,061.96	$1,061.96	$2,389.41
United Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $275.31 / $608.89	Professional		$189.02	$275.31	$608.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $204.91 / $204.91	Professional		$204.91	$204.91	$204.91