Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.79 / $81.67 / $83.22	Facility		$65.79	$81.67	$83.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $81.67 / $110.83	Professional		$68.06	$81.67	$110.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $111.16	Professional		$82.11	$96.60	$111.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $99,999.99 / $99,999.99	Facility		$86.03	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $141.44 / $196.22	Professional		$84.86	$141.44	$196.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $90.76 / $113.45	Professional		$68.06	$90.76	$113.45
United Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $82.05 / $124.41	Professional		$71.19	$82.05	$124.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Professional		$113.45	$113.45	$113.45