Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $303.86 / $28,610.40	Facility		$164.25	$303.86	$28,610.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $164.25 / $180.68	Professional		$163.21	$164.25	$180.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $164.25 / $164.25	Facility		$154.96	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Facility		$164.25	$164.25	$164.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $164.25 / $164.25	Professional		$82.13	$164.25	$164.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.33 / $3.60	Professional		$2.12	$2.33	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $182.84	Professional		$164.25	$174.11	$182.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $164.25	Professional		$163.21	$163.21	$164.25