Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $168.34 / $21,613.46	Facility		$162.26	$168.34	$21,613.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $168.34 / $172.40	Professional		$162.26	$168.34	$172.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $181.17 / $181.17	Facility		$181.17	$181.17	$181.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $181.17 / $181.17	Professional		$125.65	$181.17	$181.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $284.88	Professional		$40.00	$40.00	$284.88
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $208.90	Professional		$202.82	$202.82	$208.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $169.02 / $169.02	Professional		$169.02	$169.02	$169.02