Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $69.28 / $79.38	Facility		$62.52	$69.28	$79.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $79.38 / $132.13	Professional		$62.52	$79.38	$132.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $104.26	Professional		$71.39	$71.39	$104.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $92.67 / $92.67	Facility		$52.36	$92.67	$92.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $93.50 / $150.90	Professional		$71.92	$93.50	$150.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $23.42 / $25.76	Professional		$15.22	$23.42	$25.76
United Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $74.61 / $89.55	Facility		$50.98	$74.61	$89.55
United Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $75.28 / $108.00	Professional		$63.98	$75.28	$108.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $90.41	Professional		$23.42	$23.42	$90.41