Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $92.29 / $105.74	Facility		$85.82	$92.29	$105.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $105.74 / $149.60	Professional		$85.82	$105.74	$149.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $123.90	Professional		$89.29	$89.29	$123.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $133.81 / $133.81	Facility		$69.72	$133.81	$133.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $133.81 / $200.99	Professional		$95.81	$133.81	$200.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $96.28 / $105.90	Professional		$62.58	$96.28	$105.90
United Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $100.28 / $147.13	Professional		$86.32	$100.28	$147.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $96.28 / $118.44	Professional		$96.28	$96.28	$118.44