Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $292.23 / $597.04	Facility		$45.87	$292.23	$597.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.89 / $38.31	Professional		$19.00	$24.89	$38.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $99.23 / $163.37	Facility		$26.90	$99.23	$163.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $29.40 / $55.54	Professional		$19.77	$29.40	$55.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $70.17 / $112.47	Facility		$26.14	$70.17	$112.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.94 / $37.54	Professional		$19.95	$29.94	$37.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $33.21 / $55.11	Professional		$12.07	$33.21	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $102.69 / $106.64 / $404.03	Facility		$102.69	$106.64	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $24.00 / $49.86	Professional		$20.58	$24.00	$49.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $15.57	Professional		$15.57	$15.57	$15.57