Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $9.55 / $30.27	Facility		$6.68	$9.55	$30.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $39.67 / $793.13	Professional		$6.68	$39.67	$793.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.18 / $343.18 / $343.18	Professional		$343.18	$343.18	$343.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $41.29 / $45.14	Professional		$29.71	$41.29	$45.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,185.69 / $2,185.69 / $2,185.69	Facility		$2,185.69	$2,185.69	$2,185.69
United Facility/Professional Professional Modifier Low / Median / High Price $700.27 / $885.35 / $1,576.83	Professional		$700.27	$885.35	$1,576.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.49 / $392.49 / $392.49	Professional		$392.49	$392.49	$392.49