Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $69.09 / $158.56	Facility		$57.92	$69.09	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $68.44	Professional		$57.92	$60.09	$68.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $85.00	Facility		$61.54	$61.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $61.54 / $61.54	Professional		$30.77	$61.54	$61.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,143.45 / $2,357.80 / $3,429.53	Professional		$2,143.45	$2,357.80	$3,429.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.96 / $67.17	Professional		$60.34	$63.96	$67.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $67.81	Professional		$60.34	$60.34	$67.81