Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $121.29 / $139.47	Facility		$121.29	$121.29	$139.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $129.38 / $197.05	Professional		$121.29	$129.38	$197.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $193.12 / $193.12	Facility		$193.12	$193.12	$193.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $151.99 / $232.56	Facility		$77.76	$151.99	$232.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $114.96 / $210.93	Professional		$107.30	$114.96	$210.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $177.37 / $255.45	Professional		$129.12	$177.37	$255.45
United Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $176.61 / $332.20	Professional		$134.76	$176.61	$332.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $138.86 / $138.86	Professional		$138.86	$138.86	$138.86