Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $106.24 / $121.72	Facility		$95.86	$106.24	$121.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $121.72 / $202.60	Professional		$95.86	$121.72	$202.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $99,999.99 / $99,999.99	Facility		$80.08	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $162.60 / $231.38	Professional		$104.33	$162.60	$231.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $88.47 / $97.31	Professional		$57.50	$88.47	$97.31
United Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $115.43 / $165.60	Professional		$98.12	$115.43	$165.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $88.47 / $138.61	Professional		$88.47	$88.47	$138.61