Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $82.74 / $125.77	Facility		$55.16	$82.74	$125.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $55.16 / $57.92	Professional		$50.08	$55.16	$57.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $55.16 / $55.16	Facility		$19.51	$55.16	$55.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $58.28 / $58.28	Professional		$55.16	$58.28	$58.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $53.59 / $53.59	Professional		$53.59	$53.59	$53.59
United Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $65.38 / $95.66	Facility		$65.38	$65.38	$95.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $55.16	Professional		$22.06	$55.16	$55.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16