Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $142.52 / $192.73	Facility		$84.57	$142.52	$192.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.57 / $97.21	Professional		$84.53	$84.57	$97.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $84.57	Facility		$79.78	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $84.57 / $84.57	Professional		$42.29	$84.57	$84.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $94.14	Professional		$84.57	$89.64	$94.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.53 / $84.57	Professional		$84.53	$84.53	$84.57