Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $125.89	Facility		$102.33	$109.65	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $208.93	Professional		$85.11	$109.65	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $181.97	Facility		$117.49	$117.49	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $117.49	Facility		$83.18	$83.18	$117.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $245.47	Professional		$53.70	$147.91	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $151.36	Professional		$77.62	$120.23	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $190.55	Facility		$69.18	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $134.90	Professional		$81.28	$114.82	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $245.47	Professional		$120.23	$120.23	$245.47