Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $233.80 / $316.17	Facility		$139.21	$233.80	$316.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $139.21 / $153.13	Professional		$138.66	$139.21	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $139.21 / $143.25	Facility		$131.33	$139.21	$143.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Facility		$139.21	$139.21	$139.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $141.84 / $141.84	Professional		$70.92	$141.84	$141.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $243.82	Professional		$40.00	$40.00	$243.82
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $154.50	Professional		$139.21	$147.56	$154.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $138.66 / $139.21	Professional		$138.66	$138.66	$139.21