Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $69.18 / $99.83	Professional		$57.65	$69.18	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $102.21	Facility		$57.76	$57.76	$102.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $103.09	Professional		$49.10	$57.76	$103.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $97.69 / $97.69	Facility		$97.69	$97.69	$97.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $112.34 / $156.97	Professional		$94.18	$112.34	$156.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $82.78 / $91.98	Professional		$55.18	$82.78	$91.98
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $70.75 / $95.49	Professional		$52.12	$70.75	$95.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $91.98 / $91.98	Professional		$91.98	$91.98	$91.98