Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $162.18	Facility		$131.83	$141.25	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $269.15	Professional		$131.83	$162.18	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Facility		$194.98	$194.98	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $194.98	Professional		$144.54	$144.54	$194.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $190.55 / $316.23	Professional		$69.18	$190.55	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $97.72	Professional		$51.29	$77.62	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $257.04	Facility		$117.49	$158.49	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $218.78	Professional		$120.23	$151.36	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $316.23	Professional		$77.62	$77.62	$316.23