Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $67.56 / $77.41	Facility		$60.98	$67.56	$77.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $71.13 / $128.86	Professional		$58.46	$71.13	$128.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $87.10	Professional		$59.64	$59.64	$87.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $90.39 / $136.40	Facility		$90.39	$90.39	$136.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $113.13 / $170.50	Professional		$78.66	$113.13	$170.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $152.47 / $167.72	Professional		$99.11	$152.47	$167.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $71.88 / $93.57	Professional		$57.48	$71.88	$93.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $152.47 / $152.47	Professional		$147.16	$152.47	$152.47