Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.13 / $158.63 / $181.74	Facility		$143.13	$158.63	$181.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $181.74 / $302.51	Professional		$143.13	$181.74	$302.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $230.13	Professional		$157.59	$157.59	$230.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $119.56 / $212.17 / $212.17	Facility		$119.56	$212.17	$212.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $213.50 / $345.48	Professional		$164.66	$213.50	$345.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $90.04 / $99.04	Professional		$58.52	$90.04	$99.04
United Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $172.36 / $247.27	Professional		$146.08	$172.36	$247.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $90.04 / $206.98	Professional		$90.04	$90.04	$206.98