Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.65 / $81.37 / $269.95	Facility		$57.65	$81.37	$269.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $57.65 / $62.09	Professional		$54.90	$57.65	$62.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $71.83 / $197.67	Facility		$45.84	$71.83	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $76.11 / $104.76	Professional		$46.93	$76.11	$104.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $379.28 / $611.37	Facility		$66.36	$379.28	$611.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $46.18 / $93.16	Professional		$40.02	$46.18	$93.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $40.82 / $56.13	Professional		$10.21	$40.82	$56.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $39.13 / $93.16	Professional		$23.35	$39.13	$93.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.03 / $51.03	Professional		$34.54	$51.03	$51.03