Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $1,968.75	Facility		$123.80	$123.80	$1,968.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $123.80 / $123.80	Professional		$61.90	$123.80	$123.80
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 $123.80 / $123.80 / $125.04	Professional		$123.80	$123.80	$125.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $126.06 / $126.06	Professional		$123.80	$126.06	$126.06