Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $197.81 / $226.63	Facility		$178.50	$197.81	$226.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $209.34 / $377.25	Professional		$165.85	$209.34	$377.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $260.80	Professional		$184.84	$184.84	$260.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $99,999.99 / $99,999.99	Facility		$149.24	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $302.74 / $430.83	Professional		$194.25	$302.74	$430.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.92 / $202.96 / $223.25	Professional		$131.92	$202.96	$223.25
United Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $214.75 / $290.02	Professional		$182.53	$214.75	$290.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $242.77	Professional		$202.96	$202.96	$242.77