Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $164.84	Facility		$161.62	$161.62	$164.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $177.79	Professional		$161.62	$161.62	$177.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $161.62 / $161.62	Facility		$152.47	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $161.62 / $161.62	Professional		$80.81	$161.62	$161.62
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 $161.62 / $161.62 / $163.24	Professional		$161.62	$161.62	$163.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $164.84 / $164.84	Professional		$161.62	$164.84	$164.84