Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $131.83	Facility		$54.95	$100.00	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $57.54	Professional		$50.12	$54.95	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $54.95 / $54.95	Facility		$52.48	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $54.95 / $54.95	Facility		$19.50	$54.95	$54.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $58.88	Professional		$54.95	$58.88	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $54.95	Professional		$41.69	$43.65	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $21.38 / $95.50	Facility		$0.54	$21.38	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $54.95	Professional		$21.88	$54.95	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $58.88	Professional		$53.70	$54.95	$58.88