Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $309.03	Facility		$91.20	$120.23	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $257.04	Professional		$114.82	$144.54	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $489.78	Facility		$213.80	$407.38	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $309.03	Professional		$97.72	$177.83	$309.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $245.47 / $457.09	Facility		$83.18	$245.47	$457.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $239.88	Professional		$89.13	$97.72	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $67.61 / $112.20	Professional		$16.22	$67.61	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $831.76	Facility		$181.97	$346.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $288.40	Professional		$114.82	$154.88	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $128.82	Professional		$70.79	$100.00	$128.82