Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.37 / $230.06 / $795.37	Facility		$155.37	$230.06	$795.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $159.80 / $227.68	Professional		$133.47	$159.80	$227.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.75 / $202.64 / $708.44	Facility		$144.75	$202.64	$708.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $176.93 / $361.14	Professional		$108.75	$176.93	$361.14
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $255.15 / $1,028.35 / $1,648.27	Facility		$255.15	$1,028.35	$1,648.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $113.14 / $248.96	Professional		$113.14	$113.14	$248.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $109.05 / $246.61	Professional		$27.26	$109.05	$246.61
United Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $197.16 / $282.86	Facility		$188.57	$197.16	$282.86
United Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $149.96 / $414.85	Professional		$84.86	$149.96	$414.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $123.93 / $123.93	Professional		$123.93	$123.93	$123.93