Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $309.03	Facility		$57.54	$57.54	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $151.36	Professional		$58.88	$79.43	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $165.96	Facility		$104.71	$138.04	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $177.83	Professional		$60.26	$85.11	$177.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $177.83 / $331.13	Facility		$60.26	$177.83	$331.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $89.13	Professional		$60.26	$81.28	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $169.82	Professional		$25.12	$33.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $131.83	Professional		$69.18	$79.43	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28