Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $165.28 / $295.72	Facility		$89.34	$165.28	$295.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $125.08	Professional		$89.34	$90.24	$125.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $139.99	Facility		$84.29	$89.34	$139.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Facility		$89.34	$89.34	$89.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.34 / $89.34	Professional		$44.67	$89.34	$89.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $171.93 / $250.09	Professional		$156.30	$171.93	$250.09
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $99.45	Professional		$89.34	$94.70	$99.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $104.58 / $104.58	Professional		$89.34	$104.58	$104.58