Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $137.93 / $137.93	Facility		$108.60	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $148.96	Professional		$137.93	$137.93	$148.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $137.93 / $137.93	Facility		$130.12	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $137.93 / $137.93	Professional		$68.97	$137.93	$137.93
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 $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $108.60 / $137.93	Professional		$108.60	$108.60	$137.93