Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $40.56 / $289.00	Facility		$20.98	$40.56	$289.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $24.59 / $53.17	Professional		$20.98	$24.59	$53.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $134.97 / $154.07	Facility		$101.24	$134.97	$154.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $32.61 / $69.80	Professional		$22.64	$32.61	$69.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $206.03 / $330.24	Facility		$60.86	$206.03	$330.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $23.61 / $83.48	Professional		$22.04	$23.61	$83.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $36.18 / $50.46	Professional		$15.84	$36.18	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.18 / $60.29	Professional		$25.70	$31.18	$60.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57