Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $82.53 / $94.55	Facility		$76.73	$82.53	$94.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $86.87 / $133.78	Professional		$76.73	$86.87	$133.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.54	Professional		$82.67	$82.67	$113.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $119.64 / $119.64	Facility		$62.16	$119.64	$119.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $119.64 / $179.74	Professional		$85.67	$119.64	$179.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $182.14 / $200.35	Professional		$118.39	$182.14	$200.35
United Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $89.67 / $120.16	Professional		$77.18	$89.67	$120.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $182.14 / $182.14	Professional		$179.74	$182.14	$182.14