Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $165.60 / $165.60	Facility		$127.50	$165.60	$165.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $277.95 / $346.00	Professional		$112.50	$277.95	$346.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $401.56 / $1,087.95	Facility		$353.38	$401.56	$1,087.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $366.69 / $615.07	Professional		$258.98	$366.69	$615.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $162.38 / $187.00	Facility		$162.38	$162.38	$187.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $210.37 / $261.37 / $338.24	Professional		$210.37	$261.37	$338.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $25.43 / $37.26	Professional		$19.86	$25.43	$37.26
United Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $294.58 / $503.76	Professional		$219.57	$294.58	$503.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Professional		$19.86	$19.86	$19.86