Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $1,047.13	Facility		$138.04	$275.42	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $302.00	Professional		$138.04	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $1,071.52	Facility		$223.87	$758.58	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $380.19	Professional		$138.04	$213.80	$380.19
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 $125.89 / $158.49 / $295.12	Professional		$125.89	$158.49	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $89.13 / $144.54	Professional		$16.22	$89.13	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $831.76	Facility		$302.00	$346.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $346.74	Professional		$134.90	$181.97	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $213.80	Professional		$89.13	$125.89	$213.80