Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $100.38 / $100.38	Facility		$96.75	$100.38	$100.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $100.38 / $102.80	Professional		$96.75	$100.38	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $102.80 / $102.80	Professional		$51.40	$102.80	$102.80
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 $100.78 / $100.78 / $101.79	Professional		$100.78	$100.78	$101.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80