Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $54.98 / $66.81	Facility		$54.98	$54.98	$66.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $72.59 / $103.84	Professional		$54.98	$72.59	$103.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $497.38 / $826.11	Facility		$92.46	$497.38	$826.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $88.29 / $168.79	Professional		$58.17	$88.29	$168.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $282.64 / $453.04	Facility		$83.06	$282.64	$453.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $91.80 / $121.01	Professional		$56.94	$91.80	$121.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $77.84 / $136.08	Professional		$35.19	$77.84	$136.08
United Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $76.04 / $149.88	Professional		$60.42	$76.04	$149.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Professional		$45.70	$45.70	$45.70