Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $338.84	Facility		$60.26	$158.49	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $165.96	Professional		$60.26	$91.20	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $109.65	Facility		$44.67	$60.26	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $208.93	Professional		$85.11	$120.23	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $70.79	Facility		$28.84	$45.71	$70.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $77.62 / $93.33	Professional		$30.90	$77.62	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $112.20	Facility		$57.54	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $144.54	Professional		$66.07	$89.13	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $125.89	Professional		$93.33	$93.33	$125.89