Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $106.70 / $106.70	Facility		$89.18	$106.70	$106.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $117.37	Professional		$106.70	$106.70	$117.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $106.70 / $106.70	Professional		$53.35	$106.70	$106.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $196.26 / $310.62	Professional		$134.88	$196.26	$310.62
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $106.70	Professional		$89.18	$89.18	$106.70