Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $137.54 / $264.33	Facility		$72.89	$137.54	$264.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $95.83	Professional		$63.38	$79.86	$95.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $79.86 / $122.65	Facility		$75.34	$79.86	$122.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Facility		$79.86	$79.86	$79.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $81.37 / $81.37	Professional		$40.69	$81.37	$81.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $94.14 / $113.09	Professional		$40.00	$94.14	$113.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $88.90	Professional		$79.86	$84.65	$88.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $63.38 / $79.86	Professional		$63.38	$63.38	$79.86