Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $265.54 / $766.19	Facility		$149.66	$265.54	$766.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $149.66 / $219.33	Professional		$128.57	$149.66	$219.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $195.23 / $651.12	Facility		$139.44	$195.23	$651.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $165.54 / $348.10	Professional		$104.85	$165.54	$348.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $245.79 / $990.63 / $1,587.80	Facility		$245.79	$990.63	$1,587.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $239.82	Professional		$103.90	$103.90	$239.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $92.07 / $237.55	Professional		$23.01	$92.07	$237.55
United Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $155.85 / $259.76	Facility		$155.85	$155.85	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $141.54 / $346.34	Professional		$77.93	$141.54	$346.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $104.62 / $104.62	Professional		$104.62	$104.62	$104.62