Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $130.26	Facility		$111.15	$111.15	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $130.26	Professional		$111.15	$111.15	$130.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $111.15 / $111.15	Facility		$104.86	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $111.15 / $111.15	Professional		$55.58	$111.15	$111.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $595.03	Professional		$50.00	$50.00	$595.03
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $112.26	Professional		$111.15	$111.15	$112.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $130.26 / $130.26	Professional		$111.15	$130.26	$130.26