Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $211.27 / $602.39	Facility		$147.19	$211.27	$602.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $140.27 / $188.54	Professional		$112.07	$140.27	$188.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.88 / $167.82 / $651.12	Facility		$119.88	$167.82	$651.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $154.66 / $335.22	Professional		$97.08	$154.66	$335.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $188.16 / $758.36 / $1,215.51	Facility		$188.16	$758.36	$1,215.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $188.57	Professional		$103.90	$103.90	$188.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $91.43 / $186.79	Professional		$22.85	$91.43	$186.79
United Facility/Professional Facility Modifier Low / Median / High Price $259.76 / $259.76 / $259.76	Facility		$259.76	$259.76	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $112.30 / $346.34	Professional		$77.93	$112.30	$346.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $103.90	Professional		$103.90	$103.90	$103.90