Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $9,717.02	Facility		$131.90	$131.90	$9,717.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $142.86	Professional		$131.90	$131.90	$142.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $131.90 / $131.90	Facility		$124.43	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $131.90 / $131.90	Professional		$65.95	$131.90	$131.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $199.15 / $715.08	Professional		$40.00	$199.15	$715.08
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $142.86 / $142.86	Professional		$131.90	$142.86	$142.86