Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $107.92	Facility		$97.94	$97.94	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $107.92	Professional		$97.94	$97.94	$107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $94.19 / $97.94	Professional		$66.89	$94.19	$97.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $149.25 / $535.91	Professional		$40.00	$149.25	$535.91
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $100.17	Professional		$97.94	$97.94	$100.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $107.92 / $107.92	Professional		$97.94	$107.92	$107.92