Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.61 / $149.00 / $322.00	Facility		$50.61	$149.00	$322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $64.31 / $95.07	Professional		$48.89	$64.31	$95.07
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $70.00	Facility		$45.00	$55.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $73.50 / $109.79	Professional		$60.89	$73.50	$109.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $40.00 / $56.00	Facility		$28.99	$40.00	$56.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $55.43 / $74.18	Professional		$39.90	$55.43	$74.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $106.60 / $147.38	Professional		$80.03	$106.60	$147.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $62.62 / $103.62	Professional		$56.95	$62.62	$103.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $83.65 / $83.65	Professional		$83.65	$83.65	$83.65