Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.13 / $76.50 / $87.65	Facility		$71.13	$76.50	$87.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $77.59 / $124.02	Professional		$71.13	$77.59	$124.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $110.94 / $110.94	Facility		$57.68	$110.94	$110.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $110.94 / $166.62	Professional		$79.42	$110.94	$166.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.26 / $91.58	Professional		$54.11	$83.26	$91.58
United Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $83.12 / $109.41	Professional		$71.56	$83.12	$109.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $88.08	Professional		$83.26	$83.26	$88.08