Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $6,316.13	Facility		$98.11	$98.11	$6,316.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.92	Professional		$98.11	$98.11	$107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $98.11 / $98.11	Facility		$92.55	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $98.11 / $98.11	Professional		$49.06	$98.11	$98.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $100.40 / $100.40	Professional		$98.11	$100.40	$100.40