Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $103.37 / $118.43	Facility		$96.12	$103.37	$118.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $118.43 / $167.57	Professional		$96.42	$118.43	$167.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $99,999.99 / $99,999.99	Facility		$78.12	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $158.19 / $225.14	Professional		$101.51	$158.19	$225.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $57.24 / $62.96	Professional		$37.20	$57.24	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $112.32 / $169.22	Professional		$96.68	$112.32	$169.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $136.22	Professional		$57.24	$57.24	$136.22