Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $89.75 / $89.75	Facility		$82.41	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $94.23	Professional		$89.75	$89.75	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $89.75 / $89.75	Facility		$84.67	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $89.75 / $89.75	Professional		$44.88	$89.75	$89.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $128.56 / $384.24	Professional		$107.01	$128.56	$384.24
United Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $71.81 / $71.81	Facility		$71.81	$71.81	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $89.75	Professional		$82.41	$82.41	$89.75