Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $89.13 / $102.12	Facility		$80.43	$89.13	$102.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $93.82 / $169.98	Professional		$77.13	$93.82	$169.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $114.90	Professional		$78.68	$78.68	$114.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $99,999.99 / $99,999.99	Facility		$58.24	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $136.44 / $194.12	Professional		$87.53	$136.44	$194.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $21.34 / $23.47	Professional		$13.87	$21.34	$23.47
United Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $85.28 / $102.36	Facility		$58.27	$85.28	$102.36
United Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $94.83 / $123.45	Professional		$75.83	$94.83	$123.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $21.34 / $103.34	Professional		$21.34	$21.34	$103.34