Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $365.99 / $63,148.83	Facility		$197.83	$365.99	$63,148.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.83 / $217.62	Professional		$197.65	$197.83	$217.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $197.83 / $197.83	Facility		$186.63	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $197.83 / $197.83	Professional		$98.92	$197.83	$197.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.33 / $224.76 / $326.93	Professional		$204.33	$224.76	$326.93
United Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $236.78 / $346.43	Facility		$194.08	$236.78	$346.43
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $220.23	Professional		$197.83	$209.70	$220.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.83	Professional		$197.65	$197.65	$197.83