Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $126.59 / $145.02	Facility		$114.22	$126.59	$145.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $145.02 / $241.40	Professional		$114.22	$145.02	$241.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $169.27 / $169.27	Facility		$95.48	$169.27	$169.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $170.50 / $275.68	Professional		$131.38	$170.50	$275.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $124.90 / $137.38	Professional		$81.18	$124.90	$137.38
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $137.54 / $186.68	Professional		$117.49	$137.54	$186.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $156.27	Professional		$124.90	$124.90	$156.27