Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $211.27 / $749.83	Facility		$147.19	$211.27	$749.83
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 $239.32 / $964.56 / $1,546.01	Facility		$239.32	$964.56	$1,546.01
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 $26.86 / $107.45 / $237.55	Professional		$26.86	$107.45	$237.55
United Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $259.76	Facility		$173.17	$173.17	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $141.40 / $365.55	Professional		$77.93	$141.40	$365.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $122.11 / $122.11	Professional		$122.11	$122.11	$122.11