Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $102.33	Facility		$81.28	$89.13	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $169.82	Professional		$81.28	$102.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $95.50	Facility		$67.61	$67.61	$95.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $199.53	Professional		$43.65	$120.23	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $70.79	Professional		$37.15	$57.54	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $165.96	Facility		$74.13	$95.50	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $138.04	Professional		$75.86	$95.50	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $199.53	Professional		$57.54	$57.54	$199.53