Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $68.19 / $231.12	Facility		$48.29	$68.19	$231.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $48.29 / $52.03	Professional		$46.00	$48.29	$52.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $59.72 / $165.56	Facility		$38.13	$59.72	$165.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $58.64 / $85.19	Professional		$27.66	$58.64	$85.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $317.88 / $512.41	Facility		$55.61	$317.88	$512.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $38.70 / $78.08	Professional		$33.53	$38.70	$78.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $30.18 / $41.50	Professional		$7.55	$30.18	$41.50
United Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $83.84 / $83.84	Facility		$83.84	$83.84	$83.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $32.79 / $78.08	Professional		$23.47	$32.79	$78.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $37.72 / $37.72	Professional		$28.95	$37.72	$37.72