Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $118.77 / $136.08	Facility		$110.44	$118.77	$136.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $136.08 / $192.53	Professional		$110.44	$136.08	$192.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $172.31	Professional		$117.99	$117.99	$172.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $99,999.99 / $99,999.99	Facility		$89.60	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $181.78 / $258.68	Professional		$116.64	$181.78	$258.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.24 / $109.61 / $120.57	Professional		$71.24	$109.61	$120.57
United Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $170.54 / $172.06	Facility		$97.44	$170.54	$172.06
United Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $129.05 / $194.44	Professional		$111.08	$129.05	$194.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $109.61 / $156.52	Professional		$109.61	$109.61	$156.52