Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $91.54 / $91.54	Facility		$67.72	$91.54	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $95.20	Professional		$91.54	$91.54	$95.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $91.54 / $91.54	Facility		$86.36	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $91.54 / $91.54	Professional		$45.77	$91.54	$91.54
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 $91.54 / $91.54 / $92.46	Professional		$91.54	$91.54	$92.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $67.72 / $91.54	Professional		$67.72	$67.72	$91.54