Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.55 / $111.37 / $127.59	Facility		$103.55	$111.37	$127.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $117.23 / $180.52	Professional		$100.97	$117.23	$180.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $161.47 / $161.47	Facility		$84.00	$161.47	$161.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $161.47 / $242.54	Professional		$115.60	$161.47	$242.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $41.63 / $45.79	Professional		$27.05	$41.63	$45.79
United Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $121.00 / $152.12	Professional		$100.96	$121.00	$152.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $122.46	Professional		$41.63	$41.63	$122.46