Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $307.00	Facility		$19.05	$19.05	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.19 / $34.77	Professional		$19.05	$25.19	$34.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $142.13 / $217.81	Facility		$27.93	$142.13	$217.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $32.27 / $60.57	Professional		$19.96	$32.27	$60.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $63.58 / $97.29	Facility		$32.53	$63.58	$97.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $26.45 / $46.50	Professional		$18.52	$26.45	$46.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $26.42 / $49.54	Professional		$6.16	$26.42	$49.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $31.27 / $58.47	Facility		$9.08	$31.27	$58.47
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $33.18 / $68.55	Professional		$22.07	$33.18	$68.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $26.45 / $31.76	Professional		$12.50	$26.45	$31.76