Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $138.33 / $158.49	Facility		$124.83	$138.33	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $157.52 / $263.81	Professional		$125.93	$157.52	$263.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $99,999.99 / $99,999.99	Facility		$104.44	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $211.73 / $301.27	Professional		$135.85	$211.73	$301.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $147.80 / $162.58	Professional		$96.07	$147.80	$162.58
United Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $150.31 / $215.63	Professional		$127.39	$150.31	$215.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $147.80 / $180.50	Professional		$147.80	$147.80	$180.50