Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $87.03 / $147.02	Facility		$69.27	$87.03	$147.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $99.72 / $125.29	Professional		$84.63	$99.72	$125.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $58.02 / $75.00	Facility		$45.00	$58.02	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $118.97 / $192.63	Professional		$74.36	$118.97	$192.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $39.11 / $57.04	Facility		$23.63	$39.11	$57.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $61.57 / $73.84	Professional		$47.09	$61.57	$73.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $141.97 / $192.02	Professional		$106.67	$141.97	$192.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $93.59 / $171.46	Professional		$66.70	$93.59	$171.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $86.13 / $86.13	Professional		$86.13	$86.13	$86.13