Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $309.03	Facility		$54.95	$54.95	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $128.82	Professional		$54.95	$72.44	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $234.42 / $346.74	Facility		$102.33	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $165.96	Professional		$56.23	$79.43	$165.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $158.49 / $295.12	Facility		$45.71	$158.49	$295.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $114.82	Professional		$57.54	$75.86	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $74.13	Professional		$23.99	$36.31	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $72.44 / $144.54	Facility		$24.55	$72.44	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $125.89	Professional		$54.95	$69.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $85.11	Professional		$56.23	$56.23	$85.11