Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $23.33 / $25.76	Facility		$18.67	$23.33	$25.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $28.35 / $34.24	Professional		$23.33	$28.35	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $87.28 / $637.11	Facility		$35.79	$87.28	$637.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $20.76 / $149.66	Professional		$12.47	$20.76	$149.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $26.82 / $30.89	Facility		$26.82	$26.82	$30.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $20.55 / $35.06	Professional		$10.28	$20.55	$35.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $33.89 / $50.50	Professional		$24.45	$33.89	$50.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $28.04 / $48.16	Professional		$19.69	$28.04	$48.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $29.36	Professional		$26.50	$26.50	$29.36