Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $105.81 / $121.68	Facility		$105.81	$105.81	$121.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $141.49 / $198.03	Professional		$105.81	$141.49	$198.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $139.12 / $178.55	Facility		$99.38	$139.12	$178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $182.26 / $333.86	Professional		$112.06	$182.26	$333.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.12 / $354.80 / $568.66	Facility		$162.12	$354.80	$568.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $179.18 / $223.98	Professional		$127.99	$179.18	$223.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $38.81 / $51.67	Professional		$25.87	$38.81	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $142.53 / $293.55	Professional		$120.40	$142.53	$293.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $141.22 / $148.91	Professional		$51.00	$141.22	$148.91