Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $92.68 / $1,678.00	Facility		$21.94	$92.68	$1,678.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $27.87 / $46.42	Professional		$21.94	$27.87	$46.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $80.52 / $1,119.79	Facility		$29.64	$80.52	$1,119.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $43.58 / $82.45	Professional		$24.65	$43.58	$82.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.63 / $29.08	Facility		$23.99	$27.63	$29.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $33.99 / $128.49	Professional		$18.48	$33.99	$128.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $36.60 / $64.88	Professional		$22.64	$36.60	$64.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $40.00 / $70.41	Professional		$24.32	$40.00	$70.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14