Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $87.98 / $87.98	Facility		$80.48	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $95.02	Professional		$87.98	$87.98	$95.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $92.96 / $92.96	Professional		$46.48	$92.96	$92.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $169.92	Professional		$40.00	$50.00	$169.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $85.31 / $87.98	Professional		$80.48	$85.31	$87.98