Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $169.11 / $331.30	Facility		$100.09	$169.11	$331.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.30 / $113.50	Professional		$100.09	$100.30	$113.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $102.69	Facility		$94.42	$100.09	$102.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Facility		$100.09	$100.09	$100.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $100.09 / $100.09	Professional		$50.05	$100.09	$100.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $122.08 / $177.57	Professional		$110.98	$122.08	$177.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $111.42	Professional		$100.09	$106.10	$111.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.30 / $100.30	Professional		$100.09	$100.30	$100.30