Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $164.39 / $188.34	Facility		$148.34	$164.39	$188.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $177.02 / $313.50	Professional		$146.54	$177.02	$313.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $242.07	Professional		$165.76	$165.76	$242.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $99,999.99 / $99,999.99	Facility		$124.04	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $251.60 / $358.03	Professional		$161.44	$251.60	$358.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.42 / $220.65 / $242.71	Professional		$143.42	$220.65	$242.71
United Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $178.62 / $256.25	Professional		$151.38	$178.62	$256.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $220.65 / $220.65	Professional		$220.65	$220.65	$220.65