Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $269.15 / $630.96	Facility		$91.20	$269.15	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $123.03	Professional		$22.91	$54.95	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $35.48 / $204.17	Facility		$23.44	$35.48	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $114.82	Professional		$19.05	$42.66	$114.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $138.04 / $257.04	Facility		$29.51	$138.04	$257.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $70.79	Professional		$39.81	$46.77	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $38.02 / $50.12	Professional		$9.12	$38.02	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $46.77 / $79.43	Facility		$19.50	$46.77	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.54 / $53.70	Professional		$13.80	$27.54	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $79.43	Professional		$45.71	$45.71	$79.43