Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Facility		$54.95	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $58.88	Professional		$29.51	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $114.82	Facility		$69.18	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88