Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $94.47 / $108.23	Facility		$85.25	$94.47	$108.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $108.23 / $180.16	Professional		$85.25	$108.23	$180.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $147.24	Professional		$104.35	$104.35	$147.24
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $126.35 / $126.35	Facility		$71.40	$126.35	$126.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $127.50 / $205.74	Professional		$98.05	$127.50	$205.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $104.08 / $114.48	Professional		$67.65	$104.08	$114.48
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $100.53 / $143.16	Professional		$84.57	$100.53	$143.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $104.08 / $119.83	Professional		$104.08	$104.08	$119.83