Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $104.59 / $338.96	Facility		$94.37	$104.59	$338.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $99.08 / $152.74	Professional		$59.22	$99.08	$152.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $139.88 / $139.88	Facility		$85.23	$139.88	$139.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $141.29 / $173.55	Professional		$84.77	$141.29	$173.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $130.65 / $143.71	Professional		$84.92	$130.65	$143.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $111.27 / $140.13	Professional		$84.77	$111.27	$140.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $130.65 / $130.65	Professional		$130.65	$130.65	$130.65