Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $141.25 / $141.25	Facility		$97.72	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $229.09	Facility		$158.49	$158.49	$229.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $363.08	Professional		$158.49	$245.47	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $257.04	Facility		$138.04	$169.82	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $257.04	Professional		$141.25	$169.82	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47