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 $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $165.98	Professional		$116.22	$116.22	$165.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.28 / $162.28 / $162.28	Facility		$162.28	$162.28	$162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $162.88 / $243.76	Professional		$130.30	$162.88	$243.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
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 $148.22 / $148.22 / $243.76	Professional		$148.22	$148.22	$243.76