Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $144.41 / $144.41	Facility		$139.19	$144.41	$144.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $147.90	Professional		$139.19	$144.41	$147.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $147.90 / $147.90	Professional		$73.95	$147.90	$147.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $146.44	Professional		$145.00	$145.00	$146.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $143.55 / $143.55	Professional		$143.55	$143.55	$143.55