Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.11 / $169.68 / $194.40	Facility		$153.11	$169.68	$194.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $182.72 / $323.60	Professional		$151.25	$182.72	$323.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $233.93	Professional		$168.57	$168.57	$233.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $99,999.99 / $99,999.99	Facility		$127.96	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $259.70 / $369.55	Professional		$166.63	$259.70	$369.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $189.95 / $208.94	Professional		$123.46	$189.95	$208.94
United Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $184.37 / $264.50	Professional		$158.69	$184.37	$264.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $221.41	Professional		$189.95	$189.95	$221.41