Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $139.44 / $148.03	Facility		$119.25	$139.44	$148.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $139.44 / $195.20	Professional		$119.25	$139.44	$195.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $178.86	Professional		$152.03	$152.03	$178.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $99,999.99 / $99,999.99	Facility		$139.65	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $271.39 / $374.29	Professional		$221.16	$271.39	$374.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $31.49 / $286.27	Professional		$20.04	$31.49	$286.27
United Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $129.18 / $214.20	Professional		$100.49	$129.18	$214.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $286.27 / $286.27	Professional		$286.27	$286.27	$286.27