Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $5,128.61	Facility		$162.18	$162.18	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Facility		$151.36	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $380.19	Professional		$85.11	$109.65	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $446.68	Facility		$169.82	$204.17	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $173.78	Professional		$134.90	$173.78	$173.78