Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $192.91 / $230.18	Facility		$174.07	$192.91	$230.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $192.91 / $282.95	Professional		$113.79	$192.91	$282.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99,999.99 / $99,999.99 / $99,999.99	Facility		$99,999.99	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $262.27 / $374.34	Professional		$157.37	$262.27	$374.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $187.90 / $206.69	Professional		$150.32	$187.90	$206.69
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $209.60 / $292.17	Professional		$155.19	$209.60	$292.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $187.90 / $225.38	Professional		$187.90	$187.90	$225.38