Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $309.03	Facility		$104.71	$104.71	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $199.53	Professional		$104.71	$141.25	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $251.19	Facility		$95.50	$138.04	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $338.84	Professional		$112.20	$169.82	$338.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $562.34	Facility		$102.33	$302.00	$562.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $223.87	Professional		$120.23	$151.36	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $102.33 / $199.53	Facility		$48.98	$102.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $269.15	Professional		$120.23	$144.54	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25