Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $407.38 / $741.31	Facility		$131.83	$407.38	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $190.55	Professional		$114.82	$128.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $380.19	Facility		$104.71	$181.97	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $281.84	Professional		$85.11	$151.36	$281.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $724.44 / $1,348.96	Facility		$154.88	$724.44	$1,348.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $204.17	Professional		$89.13	$89.13	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $87.10 / $109.65	Professional		$19.95	$87.10	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $181.97	Facility		$61.66	$112.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $199.53	Professional		$52.48	$87.10	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91