Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $98.84 / $138.37	Facility		$58.14	$98.84	$138.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $84.64 / $101.66	Professional		$58.14	$84.64	$101.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $71.37 / $405.37	Facility		$6.58	$71.37	$405.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $83.14 / $149.19	Professional		$48.18	$83.14	$149.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $50.32 / $50.32	Facility		$48.38	$50.32	$50.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $43.77 / $132.91	Professional		$32.56	$43.77	$132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $628.20 / $942.30 / $989.42	Facility		$628.20	$942.30	$989.42
United Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $52.54 / $115.04	Professional		$33.72	$52.54	$115.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $59.33 / $76.83	Professional		$59.33	$59.33	$76.83