Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $81.77	Facility		$77.73	$77.73	$81.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $97.73 / $133.47	Professional		$77.73	$97.73	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $132.81 / $154.07	Facility		$101.24	$132.81	$154.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $116.45 / $216.21	Professional		$81.84	$116.45	$216.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $205.39 / $329.20	Facility		$104.98	$205.39	$329.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $112.64 / $148.13	Professional		$53.57	$112.64	$148.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $80.32 / $236.22	Professional		$55.38	$80.32	$236.22
United Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $106.10 / $180.37	Professional		$94.90	$106.10	$180.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $117.93 / $206.49	Professional		$112.64	$117.93	$206.49