Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $92.76 / $106.27	Facility		$83.70	$92.76	$106.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $92.76 / $176.89	Professional		$68.73	$92.76	$176.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $99,999.99 / $99,999.99	Facility		$70.00	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $145.82 / $202.01	Professional		$91.09	$145.82	$202.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $64.53 / $70.98	Professional		$41.94	$64.53	$70.98
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $95.90 / $108.44	Professional		$68.31	$95.90	$108.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $64.53 / $90.76	Professional		$64.53	$64.53	$90.76