Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $168.24 / $799.25	Facility		$69.73	$168.24	$799.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $93.86	Professional		$69.73	$69.73	$93.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $69.73 / $95.63	Facility		$65.78	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $69.73 / $69.73	Facility		$46.42	$69.73	$69.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $71.04 / $71.04	Professional		$69.73	$71.04	$71.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $79.50	Professional		$4.13	$4.13	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $69.73	Professional		$27.89	$69.73	$69.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $82.37 / $82.37	Professional		$69.73	$82.37	$82.37