Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $155.00 / $292.00	Facility		$76.55	$155.00	$292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $102.55 / $140.41	Professional		$69.59	$102.55	$140.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $65.00	Facility		$45.00	$55.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $121.79 / $200.96	Professional		$92.06	$121.79	$200.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.56	Facility		$14.00	$14.00	$14.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $63.60 / $101.36	Professional		$33.19	$63.60	$101.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $114.73 / $163.01	Professional		$86.49	$114.73	$163.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $108.43 / $108.43	Professional		$108.43	$108.43	$108.43