Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $74.68 / $79.11	Facility		$71.66	$74.68	$79.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $148.66 / $191.14	Professional		$79.11	$148.66	$191.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $564.29 / $637.11	Facility		$216.50	$564.29	$637.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $178.57 / $370.92	Professional		$126.26	$178.57	$370.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $1,029.38 / $1,575.08	Facility		$526.65	$1,029.38	$1,575.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $100.00 / $104.00	Professional		$44.00	$100.00	$104.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $87.02 / $153.01	Professional		$67.95	$87.02	$153.01
United Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $116.00 / $242.93	Professional		$78.00	$116.00	$242.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $103.65	Professional		$67.95	$67.95	$103.65