Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $127.61 / $127.61	Facility		$123.00	$127.61	$127.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $127.61 / $130.69	Professional		$123.00	$127.61	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $130.69 / $130.69	Professional		$65.34	$130.69	$130.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $109.48	Professional		$50.00	$50.00	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $128.13	Professional		$128.13	$128.13	$128.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00