Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $223.87 / $363.08	Facility		$89.13	$223.87	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $154.88	Professional		$77.62	$109.65	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $120.23	Facility		$44.67	$54.95	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $213.80	Professional		$91.20	$123.03	$213.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.45 / $14.45	Facility		$14.13	$14.45	$14.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $102.33	Professional		$33.11	$63.10	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $123.03	Facility		$69.18	$95.50	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $162.18	Professional		$87.10	$114.82	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65