Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $69.72 / $199.92	Facility		$67.20	$69.72	$199.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $69.72 / $71.40	Professional		$67.20	$69.72	$71.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $45.65 / $45.65	Facility		$43.89	$45.65	$45.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $55.20 / $77.28	Professional		$22.78	$55.20	$77.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $83.79	Professional		$79.80	$79.80	$83.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92