Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $124.01 / $167.69	Facility		$73.94	$124.01	$167.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.94 / $81.33	Professional		$73.55	$73.94	$81.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $85.00	Facility		$69.75	$73.94	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Facility		$73.94	$73.94	$73.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $75.33 / $75.33	Professional		$37.67	$75.33	$75.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $968.57 / $1,065.43 / $1,549.72	Professional		$968.57	$1,065.43	$1,549.72
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $82.31	Professional		$73.94	$78.38	$82.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.55 / $73.94	Professional		$73.55	$73.55	$73.94