Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $208.93	Facility		$169.82	$181.97	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $354.81	Professional		$169.82	$208.93	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $302.00	Facility		$251.19	$251.19	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $199.53	Facility		$138.04	$138.04	$199.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $407.38	Professional		$91.20	$245.47	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $199.53	Professional		$104.71	$162.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $407.38	Facility		$154.88	$208.93	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $288.40	Professional		$158.49	$199.53	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $407.38	Professional		$162.18	$162.18	$407.38