Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $68.81 / $93.13	Professional		$57.36	$68.81	$93.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $100.67	Professional		$38.25	$45.00	$100.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $94.99 / $100.76	Facility		$50.96	$94.99	$100.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $104.00 / $152.65	Professional		$88.40	$104.00	$152.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $89.45 / $89.45	Professional		$62.61	$89.45	$89.45
United Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $66.01 / $92.86	Professional		$49.88	$66.01	$92.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $89.45 / $89.45	Professional		$89.45	$89.45	$89.45