Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $53.72 / $131.21	Facility		$30.82	$53.72	$131.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $16.23 / $31.70	Professional		$14.35	$16.23	$31.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $20.64 / $113.19	Facility		$12.50	$20.64	$113.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $20.51 / $67.11	Professional		$12.08	$20.51	$67.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $96.54 / $155.62	Facility		$17.34	$96.54	$155.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $26.42 / $43.41	Professional		$21.71	$26.42	$43.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $17.57 / $24.15	Professional		$4.38	$17.57	$24.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $15.41 / $36.79	Professional		$9.99	$15.41	$36.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $21.96 / $22.81	Professional		$21.96	$21.96	$22.81