Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.93 / $141.77 / $162.43	Facility		$127.93	$141.77	$162.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $149.22 / $270.36	Professional		$117.76	$149.22	$270.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $232.06	Professional		$164.47	$164.47	$232.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $99,999.99 / $99,999.99	Facility		$106.96	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $216.98 / $308.76	Professional		$139.22	$216.98	$308.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $130.10 / $143.11	Professional		$84.56	$130.10	$143.11
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $383.64 / $383.64	Facility		$383.64	$383.64	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $150.83 / $205.93	Professional		$129.61	$150.83	$205.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $172.38	Professional		$130.10	$130.10	$172.38