Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.56 / $134.56 / $158.66	Facility		$134.56	$134.56	$158.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $142.97 / $201.04	Professional		$134.56	$142.97	$201.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.34 / $731.23 / $1,015.24	Facility		$220.34	$731.23	$1,015.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $225.85 / $358.42	Professional		$135.54	$225.85	$358.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $197.14 / $429.48 / $688.38	Facility		$197.14	$429.48	$688.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $126.22 / $142.93 / $287.45	Professional		$126.22	$142.93	$287.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $177.54 / $305.67	Professional		$36.04	$177.54	$305.67
United Facility/Professional Facility Modifier Low / Median / High Price $332.91 / $828.29 / $1,863.65	Facility		$332.91	$828.29	$1,863.65
United Facility/Professional Professional Modifier Low / Median / High Price $149.32 / $177.78 / $341.61	Professional		$149.32	$177.78	$341.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $122.45 / $122.45	Professional		$122.45	$122.45	$122.45