Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $426.58	Facility		$54.95	$102.33	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $114.82	Professional		$54.95	$72.44	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $190.55 / $354.81	Facility		$74.13	$190.55	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $151.36	Professional		$46.77	$69.18	$151.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $158.49	Facility		$29.51	$85.11	$158.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $104.71	Professional		$41.69	$61.66	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.11 / $95.50	Professional		$10.23	$33.11	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $141.25 / $426.58	Facility		$19.05	$141.25	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $120.23	Professional		$46.77	$66.07	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Professional		$50.12	$50.12	$77.62