Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $125.95 / $336.26	Facility		$57.51	$125.95	$336.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $63.26	Professional		$53.40	$57.51	$63.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $57.51 / $85.00	Facility		$54.25	$57.51	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $57.51 / $57.51	Facility		$4.80	$57.51	$57.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $60.76 / $60.76	Professional		$30.38	$60.76	$60.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $74.56 / $89.57	Professional		$40.00	$74.56	$89.57
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $57.51	Professional		$53.40	$53.40	$57.51