Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $174.90 / $233.20	Professional		$125.05	$174.90	$233.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $240.50 / $240.50	Professional		$204.43	$240.50	$240.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $99,999.99 / $99,999.99	Facility		$107.80	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $305.70 / $99,999.99	Professional		$213.99	$305.70	$99,999.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.31 / $20.35	Professional		$12.21	$18.31	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $162.09 / $255.35	Professional		$116.79	$162.09	$255.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35