Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $309.03	Facility		$77.62	$79.43	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $177.83	Professional		$77.62	$107.15	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $645.65 / $912.01	Facility		$44.67	$645.65	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $275.42	Professional		$81.28	$141.25	$275.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $562.34	Facility		$102.33	$302.00	$562.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $234.42	Professional		$81.28	$89.13	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $128.82	Professional		$32.36	$56.23	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $537.03	Facility		$177.83	$281.84	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $223.87	Professional		$97.72	$125.89	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Professional		$89.13	$89.13	$114.82