Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $173.93 / $173.93	Facility		$167.65	$173.93	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $178.13	Professional		$167.65	$173.93	$178.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $163.51 / $178.13	Professional		$81.76	$163.51	$178.13
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 $202.90 / $202.90 / $202.90	Professional		$202.90	$202.90	$202.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $155.08 / $155.08	Professional		$155.08	$155.08	$155.08