Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $153.11 / $519.01	Facility		$108.46	$153.11	$519.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $108.46 / $116.84	Professional		$90.05	$108.46	$116.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $134.77 / $371.26	Facility		$86.02	$134.77	$371.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $136.94 / $191.01	Professional		$63.07	$136.94	$191.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $366.93 / $728.51 / $1,150.66	Facility		$366.93	$728.51	$1,150.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $86.91 / $175.34	Professional		$75.30	$86.91	$175.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $77.56 / $106.65	Professional		$19.39	$77.56	$106.65
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $73.64 / $175.34	Professional		$50.20	$73.64	$175.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $96.96 / $96.96	Professional		$65.01	$96.96	$96.96