Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $125.89	Facility		$52.48	$89.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $61.66	Professional		$52.48	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $85.11	Facility		$50.12	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $53.70	Facility		$52.48	$53.70	$53.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $53.70 / $53.70	Professional		$26.30	$53.70	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $97.72	Professional		$53.70	$60.26	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $91.20	Facility		$51.29	$52.48	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $58.88	Professional		$51.29	$56.23	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70