Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $346.74 / $616.60	Facility		$112.20	$346.74	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $173.78	Professional		$97.72	$107.15	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $323.59	Facility		$87.10	$151.36	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $234.42	Professional		$63.10	$102.33	$234.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $645.65 / $1,148.15	Facility		$128.82	$645.65	$1,148.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $173.78	Professional		$75.86	$75.86	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $77.62 / $107.15	Professional		$19.50	$77.62	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $154.88	Facility		$52.48	$95.50	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $169.82	Professional		$50.12	$74.13	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89