Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $183.93 / $210.73	Facility		$171.02	$183.93	$210.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $183.93 / $298.14	Professional		$166.43	$183.93	$298.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $251.39	Professional		$178.17	$178.17	$251.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $99,999.99 / $99,999.99	Facility		$138.88	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $281.49 / $400.58	Professional		$180.62	$281.49	$400.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $168.10 / $184.91	Professional		$109.26	$168.10	$184.91
United Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $448.26 / $448.26	Facility		$448.26	$448.26	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $199.84 / $252.71	Professional		$167.72	$199.84	$252.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $168.10 / $203.45	Professional		$168.10	$168.10	$203.45