Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $99.98 / $114.54	Facility		$92.96	$99.98	$114.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $114.54 / $162.06	Professional		$92.96	$114.54	$162.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $137.82	Professional		$102.82	$102.82	$137.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $144.94 / $144.94	Facility		$75.31	$144.94	$144.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $144.94 / $217.74	Professional		$103.78	$144.94	$217.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $87.43 / $96.17	Professional		$56.82	$87.43	$96.17
United Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $108.63 / $163.66	Professional		$93.50	$108.63	$163.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $87.43 / $131.76	Professional		$87.43	$87.43	$131.76