Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $100.82 / $147.68	Professional		$92.28	$100.82	$147.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $167.97	Facility		$112.73	$112.73	$167.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $116.11	Professional		$95.82	$112.73	$116.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $159.30 / $169.12	Facility		$85.54	$159.30	$169.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $174.50 / $196.66	Professional		$115.39	$174.50	$196.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $149.97 / $149.97	Professional		$104.97	$149.97	$149.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $93.41 / $155.69	Professional		$67.77	$93.41	$155.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $149.97 / $149.97	Professional		$149.97	$149.97	$149.97