Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $191.60 / $602.39	Facility		$126.76	$191.60	$602.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $126.76 / $190.33	Professional		$111.58	$126.76	$190.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $169.43 / $565.76	Facility		$121.02	$169.43	$565.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $143.53 / $301.82	Professional		$90.92	$143.53	$301.82
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 $90.17 / $90.17 / $188.57	Professional		$90.17	$90.17	$188.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.83 / $79.35 / $186.79	Professional		$19.83	$79.35	$186.79
United Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $225.44	Facility		$150.29	$150.29	$225.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $112.07 / $300.58	Professional		$67.63	$112.07	$300.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $90.17 / $90.17	Professional		$90.17	$90.17	$90.17