Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $158.49	Facility		$128.82	$138.04	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $223.87	Professional		$128.82	$162.18	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Professional		$165.96	$165.96	$223.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Facility		$104.71	$104.71	$147.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $309.03	Professional		$67.61	$181.97	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $107.15	Professional		$54.95	$85.11	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $302.00	Facility		$134.90	$223.87	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $223.87	Professional		$128.82	$151.36	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $309.03	Professional		$85.11	$85.11	$309.03