Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $111.32 / $127.29	Facility		$96.43	$111.32	$127.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $145.47 / $200.03	Professional		$114.86	$145.47	$200.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $117.07 / $151.37	Facility		$88.79	$117.07	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $190.82 / $339.02	Professional		$116.30	$190.82	$339.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $120.85 / $120.85 / $139.16	Facility		$120.85	$120.85	$139.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $103.32 / $145.37	Professional		$84.80	$103.32	$145.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $115.53 / $187.09	Professional		$37.24	$115.53	$187.09
United Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $149.91 / $271.68	Professional		$105.50	$149.91	$271.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $107.94 / $111.91	Professional		$107.94	$107.94	$111.91