Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.47 / $165.96	Facility		$10.00	$10.47	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $38.02	Professional		$8.91	$10.00	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $234.42	Facility		$31.62	$46.77	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $323.59	Professional		$204.17	$257.04	$323.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $70.79	Professional		$39.81	$39.81	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $204.17	Facility		$66.07	$93.33	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $426.58	Professional		$18.62	$39.81	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36