Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $158.91 / $166.86	Professional		$139.77	$158.91	$166.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $111.24 / $158.91 / $158.91	Facility		$111.24	$158.91	$158.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $167.91 / $167.91	Professional		$158.91	$167.91	$167.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $26.70 / $29.37	Professional		$18.69	$26.70	$29.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $158.91	Professional		$63.57	$158.91	$158.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $158.91 / $158.91	Professional		$26.70	$158.91	$158.91