Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $97.07 / $111.21	Facility		$90.25	$97.07	$111.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $111.21 / $157.34	Professional		$90.25	$111.21	$157.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $99,999.99 / $99,999.99	Facility		$73.36	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $148.55 / $211.40	Professional		$95.32	$148.55	$211.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $81.18 / $89.29	Professional		$52.76	$81.18	$89.29
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $105.47 / $158.91	Professional		$90.78	$105.47	$158.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $81.18 / $127.93	Professional		$81.18	$81.18	$127.93