Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $255.37 / $623.77	Facility		$146.52	$255.37	$623.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $122.89 / $156.99	Professional		$108.61	$122.89	$156.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $147.96 / $620.10	Facility		$90.83	$147.96	$620.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $145.91 / $319.04	Professional		$82.80	$145.91	$319.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $750.70 / $1,210.08	Facility		$131.33	$750.70	$1,210.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $125.59 / $217.25	Professional		$106.94	$125.59	$217.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $100.47 / $138.14	Professional		$25.12	$100.47	$138.14
United Facility/Professional Facility Modifier Low / Median / High Price $313.98 / $313.98 / $313.98	Facility		$313.98	$313.98	$313.98
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $87.91 / $250.83	Professional		$73.26	$87.91	$250.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $125.59 / $125.59	Professional		$108.43	$125.59	$125.59