Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $157.69 / $157.69	Facility		$152.00	$157.69	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $157.69 / $161.50	Professional		$152.00	$157.69	$161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $190.00	Professional		$161.50	$161.50	$190.00
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 $167.51 / $167.51 / $167.51	Professional		$167.51	$167.51	$167.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $65.92	Professional		$65.92	$65.92	$65.92