Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $68.68	Professional		$65.41	$65.41	$68.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $65.40 / $65.40	Facility		$61.70	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $69.11 / $69.11	Professional		$34.56	$69.11	$69.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $97.46 / $349.94	Professional		$40.00	$97.46	$349.94
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41