Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.13	Professional		$71.55	$71.55	$75.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $71.55 / $71.55	Facility		$67.50	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $71.55 / $71.55	Professional		$35.78	$71.55	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $128.07 / $382.79	Professional		$40.00	$128.07	$382.79
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $73.70	Professional		$71.55	$71.55	$73.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55