Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $117.49	Professional		$19.05	$19.05	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.20 / $43.65	Professional		$12.59	$30.20	$43.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $234.42	Facility		$79.43	$151.36	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $22.91	Professional		$4.68	$6.61	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $21.38 / $29.51	Professional		$5.37	$21.38	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $31.62	Facility		$9.12	$12.59	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.49 / $34.67	Professional		$9.12	$13.49	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $26.30	Professional		$22.39	$26.30	$26.30