Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $181.06 / $613.90	Facility		$128.25	$181.06	$613.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $128.25 / $138.19	Professional		$121.70	$128.25	$138.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $159.81 / $439.49	Facility		$102.06	$159.81	$439.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $164.13 / $226.11	Professional		$84.81	$164.13	$226.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $844.32 / $1,360.99	Facility		$147.72	$844.32	$1,360.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $102.80 / $207.40	Professional		$89.05	$102.80	$207.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $87.77 / $120.68	Professional		$21.94	$87.77	$120.68
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Facility		$148.41	$148.41	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $87.11 / $207.40	Professional		$51.94	$87.11	$207.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $109.71 / $109.71	Professional		$76.88	$109.71	$109.71