Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $81.19 / $631.90	Facility		$32.70	$81.19	$631.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $81.19	Professional		$36.11	$36.11	$81.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Facility		$190.11	$190.11	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $189.99 / $290.70	Facility		$97.20	$189.99	$290.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $53.00 / $79.79	Professional		$42.00	$53.00	$79.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $67.43 / $67.43 / $67.43	Facility		$67.43	$67.43	$67.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $79.87	Professional		$30.00	$30.00	$79.87