Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $229.65 / $263.12	Facility		$213.54	$229.65	$263.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $229.65 / $372.27	Professional		$203.13	$229.65	$372.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $289.08	Professional		$204.89	$204.89	$289.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.32 / $99,999.99 / $99,999.99	Facility		$173.32	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $225.53 / $351.49 / $500.16	Professional		$225.53	$351.49	$500.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $267.49 / $294.23	Professional		$173.86	$267.49	$294.23
United Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $249.53 / $305.38	Professional		$202.68	$249.53	$305.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.49 / $267.49 / $267.49	Professional		$267.49	$267.49	$267.49