Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $87.74 / $118.65	Facility		$52.47	$87.74	$118.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.47 / $57.72	Professional		$52.04	$52.47	$57.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $52.47 / $62.85	Facility		$49.50	$52.47	$62.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Facility		$52.47	$52.47	$52.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $52.47 / $52.47	Professional		$26.24	$52.47	$52.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $59.01 / $85.83	Professional		$53.10	$59.01	$85.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $58.41	Professional		$52.47	$55.62	$58.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.47	Professional		$52.04	$52.04	$52.47