Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $182.66 / $209.27	Facility		$169.84	$182.66	$209.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.37 / $209.27 / $296.08	Professional		$170.37	$209.27	$296.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $231.25	Professional		$166.64	$166.64	$231.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $137.76 / $99,999.99 / $99,999.99	Facility		$137.76	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $287.16 / $397.81	Professional		$179.38	$287.16	$397.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $197.75 / $217.52	Professional		$128.53	$197.75	$217.52
United Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $198.47 / $274.54	Professional		$170.83	$198.47	$274.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $197.75 / $221.06	Professional		$197.75	$197.75	$221.06