Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $60.65 / $69.23	Facility		$47.88	$60.65	$69.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $66.79 / $123.48	Professional		$55.29	$66.79	$123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $81.64	Professional		$56.28	$56.28	$81.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $86.60 / $86.60	Facility		$48.72	$86.60	$86.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $87.00 / $141.02	Professional		$67.22	$87.00	$141.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $57.24 / $62.96	Professional		$37.20	$57.24	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $68.89 / $87.13	Professional		$55.08	$68.89	$87.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $72.95	Professional		$57.24	$57.24	$72.95