Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Facility		$58.28	$58.28	$99.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $106.19	Professional		$58.28	$58.28	$106.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $150.91	Professional		$114.90	$114.90	$150.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $121.72 / $128.28	Professional		$35.57	$121.72	$128.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $128.41	Professional		$30.00	$30.00	$128.41