Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $416.87 / $741.31	Facility		$131.83	$416.87	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $245.47	Professional		$112.20	$128.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $616.60	Facility		$125.89	$186.21	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $302.00	Professional		$83.18	$125.89	$302.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,202.26	Facility		$389.05	$758.58	$1,202.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $158.49	Professional		$91.20	$91.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $91.20 / $186.21	Professional		$19.95	$91.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $186.21	Facility		$75.86	$134.90	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $302.00	Professional		$67.61	$112.20	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $91.20	Professional		$40.74	$91.20	$91.20