Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $53.67 / $61.49	Facility		$49.90	$53.67	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $53.97 / $87.01	Professional		$49.65	$53.97	$87.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $66.22	Professional		$48.34	$48.34	$66.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $77.81 / $77.81	Facility		$40.60	$77.81	$77.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $77.81 / $116.90	Professional		$55.70	$77.81	$116.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $67.65 / $74.41	Professional		$43.97	$67.65	$74.41
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $58.32 / $76.09	Professional		$50.20	$58.32	$76.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $67.65 / $67.65	Professional		$67.65	$67.65	$67.65