Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $562.34	Facility		$93.33	$295.12	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $123.03	Professional		$79.43	$89.13	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $263.03	Facility		$72.44	$125.89	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $194.98	Professional		$61.66	$83.18	$194.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $501.19 / $933.25	Facility		$107.15	$501.19	$933.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $141.25	Professional		$61.66	$61.66	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $63.10 / $85.11	Professional		$15.49	$63.10	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $125.89	Facility		$43.65	$77.62	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $138.04	Professional		$40.74	$60.26	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Professional		$77.62	$77.62	$102.33