Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $41.81	Facility		$20.04	$20.04	$41.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $27.52 / $41.81	Professional		$20.04	$27.52	$41.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $32.07	Facility		$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $35.79 / $157.47	Professional		$32.57	$35.79	$157.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $24.19 / $26.72	Professional		$16.93	$24.19	$26.72
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 $19.66 / $19.66 / $19.66	Facility		$19.66	$19.66	$19.66
United Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $26.71 / $49.25	Professional		$18.70	$26.71	$49.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.29 / $11.29	Professional		$11.29	$11.29	$11.29