Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $128.72 / $150.37	Facility		$119.70	$128.72	$150.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $128.72 / $211.63	Professional		$116.58	$128.72	$211.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $99,999.99 / $99,999.99	Facility		$166.32	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $218.92 / $297.00	Professional		$200.37	$218.92	$297.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $143.56 / $228.24	Professional		$124.72	$143.56	$228.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $183.74	Professional		$183.74	$183.74	$183.74