Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $184.44 / $211.31	Facility		$166.43	$184.44	$211.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $211.31 / $351.74	Professional		$171.50	$211.31	$351.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $254.26	Professional		$183.23	$183.23	$254.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $99,999.99 / $99,999.99	Facility		$139.16	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $308.81 / $401.69	Professional		$191.46	$308.81	$401.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $161.33 / $177.46	Professional		$104.86	$161.33	$177.46
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $200.40 / $287.50	Professional		$167.00	$200.40	$287.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $161.33 / $240.65	Professional		$161.33	$161.33	$240.65