Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $186.21	Facility		$151.36	$162.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $309.03	Professional		$147.91	$186.21	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Facility		$245.47	$245.47	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Facility		$123.03	$123.03	$177.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $363.08	Professional		$79.43	$218.78	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $131.83	Professional		$69.18	$107.15	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $281.84	Facility		$138.04	$177.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $257.04	Professional		$138.04	$177.83	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $363.08	Professional		$107.15	$107.15	$363.08