Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.50 / $192.95 / $353.43	Facility		$114.50	$192.95	$353.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $173.41 / $223.96	Professional		$119.23	$173.41	$223.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $80.00	Facility		$45.00	$60.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $242.72 / $366.96	Professional		$173.38	$242.72	$366.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $85.06 / $127.74	Facility		$51.37	$85.06	$127.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $128.86 / $169.36	Professional		$92.14	$128.86	$169.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $248.66 / $343.56	Professional		$187.51	$248.66	$343.56
United Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $187.00 / $316.60	Professional		$139.96	$187.00	$316.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $190.76 / $225.81	Professional		$190.76	$190.76	$225.81