Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $93.33	Professional		$57.54	$81.28	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $741.31	Facility		$154.88	$154.88	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $93.33	Professional		$48.98	$87.10	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $316.23 / $794.33	Facility		$70.79	$316.23	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $141.25	Professional		$67.61	$77.62	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10