Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $130.11	Facility		$109.44	$109.44	$130.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $130.11	Professional		$109.44	$109.44	$130.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $109.44 / $109.44	Facility		$103.24	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $115.63 / $115.63	Professional		$57.82	$115.63	$115.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $369.60	Professional		$40.00	$50.00	$369.60
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $110.53	Professional		$109.44	$109.44	$110.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $130.11 / $130.11	Professional		$109.44	$130.11	$130.11