Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $108.17 / $190.17	Facility		$108.17	$108.17	$190.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $141.13 / $205.84	Professional		$108.17	$141.13	$205.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $964.00 / $1,509.81	Facility		$106.05	$964.00	$1,509.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $148.10 / $300.31	Professional		$111.19	$148.10	$300.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $183.50 / $294.12	Facility		$93.79	$183.50	$294.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $154.02 / $215.63	Professional		$106.84	$154.02	$215.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $123.47 / $223.01	Professional		$39.77	$123.47	$223.01
United Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $135.06 / $282.48	Professional		$105.80	$135.06	$282.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $105.66 / $105.66	Professional		$105.66	$105.66	$105.66