Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $123.03 / $177.83	Facility		$72.44	$123.03	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $87.10	Professional		$72.44	$74.13	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $107.15	Facility		$69.18	$74.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $75.86	Professional		$38.02	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $1,548.82	Professional		$77.62	$158.49	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $125.89	Facility		$70.79	$74.13	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $83.18	Professional		$70.79	$77.62	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13