Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $137.19	Facility		$134.88	$134.88	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $142.52 / $142.52	Professional		$71.26	$142.52	$142.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $168.71 / $283.58	Professional		$126.04	$168.71	$283.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $136.24	Professional		$134.88	$134.88	$136.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $137.19 / $137.19	Professional		$134.88	$137.19	$137.19