Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $22.41 / $51.14	Facility		$21.15	$22.41	$51.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $27.49 / $39.85	Professional		$21.15	$27.49	$39.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $100.13 / $163.37	Facility		$23.83	$100.13	$163.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $31.15 / $61.04	Professional		$21.79	$31.15	$61.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $57.31 / $91.86	Facility		$26.31	$57.31	$91.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.74 / $41.68	Professional		$21.36	$30.74	$41.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.40 / $55.11	Professional		$14.45	$33.40	$55.11
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $404.03	Facility		$179.57	$179.57	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.74 / $57.71	Professional		$21.96	$27.74	$57.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $18.13 / $18.13	Professional		$18.13	$18.13	$18.13