Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $130.32 / $149.31	Facility		$121.18	$130.32	$149.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $130.32 / $211.26	Professional		$109.74	$130.32	$211.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $155.83	Professional		$124.07	$124.07	$155.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $99,999.99 / $99,999.99	Facility		$98.28	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $199.46 / $283.83	Professional		$127.98	$199.46	$283.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $41.63 / $45.79	Professional		$27.05	$41.63	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $141.61 / $168.22	Professional		$111.65	$141.61	$168.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $135.41	Professional		$41.63	$41.63	$135.41