Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $82.00 / $277.89	Facility		$58.09	$82.00	$277.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $58.09 / $62.56	Professional		$55.32	$58.09	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $72.64 / $198.67	Facility		$46.41	$72.64	$198.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $74.27 / $102.21	Professional		$36.06	$74.27	$102.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $382.16 / $616.03	Facility		$66.84	$382.16	$616.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $46.52 / $93.88	Professional		$40.33	$46.52	$93.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $32.26 / $44.36	Professional		$8.07	$32.26	$44.36
United Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $100.82	Facility		$67.20	$67.20	$100.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $38.81 / $93.88	Professional		$23.52	$38.81	$93.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $40.33 / $40.33	Professional		$34.81	$40.33	$40.33