Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $202.04 / $493.52	Facility		$118.25	$202.04	$493.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $118.25 / $127.52	Professional		$104.56	$118.25	$127.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $145.66 / $490.66	Facility		$89.37	$145.66	$490.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $165.14 / $252.45	Professional		$91.89	$165.14	$252.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $708.06 / $1,141.34	Facility		$126.37	$708.06	$1,141.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $99.37 / $196.23	Professional		$99.37	$99.37	$196.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $79.50 / $109.30	Professional		$19.87	$79.50	$109.30
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $74.52 / $188.73	Professional		$58.38	$74.52	$188.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $99.37 / $99.37	Professional		$85.79	$99.37	$99.37