Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $171.14 / $919.01	Facility		$146.71	$171.14	$919.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $171.14 / $310.06	Professional		$140.69	$171.14	$310.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $290.39	Professional		$155.47	$155.47	$290.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $165.63 / $261.22	Facility		$122.68	$165.63	$261.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $255.63 / $354.10	Professional		$189.29	$255.63	$354.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $283.27 / $283.27	Professional		$283.27	$283.27	$283.27
United Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $172.97 / $225.20	Professional		$141.72	$172.97	$225.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $191.64 / $354.10	Professional		$191.64	$191.64	$354.10