Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $79.23	Facility		$76.09	$76.09	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $83.70	Professional		$76.09	$76.09	$83.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $76.09 / $76.09	Facility		$71.78	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $127.46	Professional		$76.09	$76.09	$127.46
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 Facility Modifier Low / Median / High Price $105.35 / $105.35 / $154.13	Facility		$105.35	$105.35	$154.13
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Professional		$76.09	$76.09	$76.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $79.23 / $79.23	Professional		$76.09	$79.23	$79.23