Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $128.34 / $7,727.19	Facility		$69.37	$128.34	$7,727.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.06 / $83.24	Professional		$69.37	$70.06	$83.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $84.94	Facility		$63.71	$69.37	$84.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $69.37 / $69.37	Professional		$34.69	$69.37	$69.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $84.79 / $123.33	Professional		$77.08	$84.79	$123.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $77.20	Professional		$69.37	$73.53	$77.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.48 / $77.48	Professional		$69.37	$77.48	$77.48