Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $99.57 / $114.08	Facility		$89.85	$99.57	$114.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $114.08 / $189.89	Professional		$89.85	$114.08	$189.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $139.58	Professional		$98.92	$98.92	$139.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $99,999.99 / $99,999.99	Facility		$75.04	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $152.41 / $216.86	Professional		$97.78	$152.41	$216.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $72.86 / $80.14	Professional		$47.35	$72.86	$80.14
United Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $108.19 / $155.21	Professional		$91.70	$108.19	$155.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $129.99	Professional		$72.86	$72.86	$129.99