Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $191.29	Professional		$182.18	$182.18	$191.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $192.49 / $192.49	Professional		$96.25	$192.49	$192.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $271.45 / $974.66	Professional		$40.00	$271.45	$974.66
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Professional		$182.18	$182.18	$184.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18