Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $177.83 / $288.40	Facility		$53.70	$177.83	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $69.18	Professional		$43.65	$50.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $89.13	Professional		$66.07	$77.62	$89.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $281.84 / $524.81	Facility		$60.26	$281.84	$524.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $79.43	Professional		$34.67	$34.67	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $31.62 / $39.81	Professional		$7.24	$31.62	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $43.65 / $70.79	Facility		$24.55	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $77.62	Professional		$24.55	$33.88	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54