Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $53.50 / $68.66	Facility		$28.85	$53.50	$68.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $55.03 / $78.45	Professional		$34.65	$55.03	$78.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $37.19 / $279.04	Facility		$3.55	$37.19	$279.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.07 / $114.89	Professional		$23.91	$37.07	$114.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $60.49	Facility		$39.00	$39.00	$60.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $50.55 / $79.50	Professional		$18.42	$50.55	$79.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $47.84 / $70.00	Professional		$11.44	$47.84	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $215.25 / $215.25	Facility		$215.25	$215.25	$215.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $30.12 / $47.42	Professional		$18.48	$30.12	$47.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $52.00 / $52.00	Professional		$14.93	$52.00	$52.00