Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $134.47 / $156.00	Facility		$122.63	$134.47	$156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $134.47 / $137.72	Professional		$129.62	$134.47	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $33.22 / $33.22	Facility		$31.95	$33.22	$33.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $57.31 / $132.66	Professional		$31.95	$57.31	$132.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $88.05	Professional		$50.00	$50.00	$88.05
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $161.62	Professional		$153.91	$153.91	$161.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $52.14 / $52.14	Professional		$52.14	$52.14	$52.14