Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $177.42 / $246.31	Facility		$95.90	$177.42	$246.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $129.63	Professional		$95.90	$96.86	$129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $95.90 / $280.50	Facility		$90.47	$95.90	$280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $1,250.24	Facility		$95.90	$95.90	$1,250.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $101.33 / $101.33	Professional		$50.67	$101.33	$101.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $233.20 / $339.20	Professional		$212.00	$233.20	$339.20
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $166.53	Professional		$95.90	$101.65	$166.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.03 / $108.03	Professional		$95.90	$108.03	$108.03