Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $63,095.73	Facility		$162.18	$354.81	$63,095.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $229.09	Facility		$154.88	$162.18	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Facility		$162.18	$162.18	$165.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $162.18	Professional		$81.28	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $162.18 / $288.40	Professional		$2.14	$162.18	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $269.15	Facility		$151.36	$162.18	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $181.97	Professional		$154.88	$173.78	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18