Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $111.85 / $128.13	Facility		$100.93	$111.85	$128.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $117.73 / $213.30	Professional		$96.76	$117.73	$213.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $188.23	Professional		$98.72	$98.72	$188.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $99.98 / $167.61	Facility		$33.35	$99.98	$167.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $175.83 / $243.60	Professional		$130.19	$175.83	$243.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $194.88 / $194.88	Professional		$194.88	$194.88	$194.88
United Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $118.98 / $154.88	Professional		$96.37	$118.98	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $243.60	Professional		$131.80	$131.80	$243.60