Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $111.93 / $128.22	Facility		$104.07	$111.93	$128.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $128.22 / $181.42	Professional		$104.07	$128.22	$181.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $84.56 / $99,999.99 / $99,999.99	Facility		$84.56	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $171.31 / $243.76	Professional		$109.91	$171.31	$243.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $52.04 / $57.24	Professional		$33.82	$52.04	$57.24
United Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $121.61 / $183.23	Professional		$104.68	$121.61	$183.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $147.50	Professional		$52.04	$52.04	$147.50