Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $98.45	Facility		$78.81	$78.81	$98.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $81.33 / $145.47	Professional		$78.81	$81.33	$145.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $639.46 / $868.35	Facility		$44.91	$639.46	$868.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $129.66 / $254.58	Professional		$82.03	$129.66	$254.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $354.80 / $568.66	Facility		$147.63	$354.80	$568.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $114.22 / $225.33	Professional		$78.31	$114.22	$225.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $72.65 / $166.36	Professional		$30.40	$72.65	$166.36
United Facility/Professional Facility Modifier Low / Median / High Price $534.15 / $534.15 / $1,201.83	Facility		$534.15	$534.15	$1,201.83
United Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $125.59 / $227.06	Professional		$98.67	$125.59	$227.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $88.26 / $88.26	Professional		$88.26	$88.26	$88.26