Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.68 / $148.50 / $1,268.24	Facility		$139.68	$148.50	$1,268.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $148.50 / $215.79	Professional		$139.68	$148.50	$215.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.19 / $731.23 / $1,015.24	Facility		$223.19	$731.23	$1,015.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $215.23 / $364.32	Professional		$137.55	$215.23	$364.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $145.79 / $285.23 / $457.17	Facility		$145.79	$285.23	$457.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $144.58 / $294.25	Professional		$127.67	$144.58	$294.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $188.57 / $335.22	Professional		$35.97	$188.57	$335.22
United Facility/Professional Facility Modifier Low / Median / High Price $331.32 / $678.82 / $1,863.65	Facility		$331.32	$678.82	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $181.93 / $359.97	Professional		$136.50	$181.93	$359.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $115.14 / $115.14	Professional		$115.14	$115.14	$115.14