Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $114.82 / $602.56	Professional		$3.02	$114.82	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.50	Professional		$15.85	$15.85	$19.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $295.12	Facility		$100.00	$186.21	$295.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $12.59	Professional		$4.68	$6.61	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $9.55 / $13.18	Professional		$2.40	$9.55	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.17 / $13.18	Facility		$5.25	$6.17	$13.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $12.02	Professional		$11.48	$12.02	$12.02