Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.04 / $322.50 / $787.73	Facility		$185.04	$322.50	$787.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $185.04 / $243.19	Professional		$145.47	$185.04	$243.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $199.23 / $993.84	Facility		$142.32	$199.23	$993.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $201.87 / $448.52	Professional		$117.65	$201.87	$448.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $250.85 / $1,011.03 / $1,620.49	Facility		$250.85	$1,011.03	$1,620.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $158.60 / $244.75	Professional		$158.60	$158.60	$244.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $139.56 / $242.45	Professional		$34.89	$139.56	$242.45
United Facility/Professional Facility Modifier Low / Median / High Price $237.91 / $237.91 / $396.51	Facility		$237.91	$237.91	$396.51
United Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $158.60 / $528.67	Professional		$116.12	$158.60	$528.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $158.60 / $158.60	Professional		$158.60	$158.60	$158.60