Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $91.79 / $126.88	Professional		$79.45	$91.79	$126.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $139.79	Facility		$64.17	$64.17	$139.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $66.09	Professional		$54.54	$64.17	$66.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $136.19 / $168.16	Facility		$85.05	$136.19	$168.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $154.13 / $195.10	Professional		$112.47	$154.13	$195.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $148.77 / $148.77	Professional		$104.13	$148.77	$148.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $84.38 / $134.00	Professional		$63.21	$84.38	$134.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $148.77 / $148.77	Professional		$148.77	$148.77	$148.77