Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $70.79 / $338.84	Facility		$19.95	$70.79	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $37.15	Professional		$16.98	$21.88	$37.15
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	CQ	$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $70.79	Facility		$44.67	$50.12	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $47.86	Professional		$19.95	$23.44	$47.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $23.44	Facility		$12.02	$16.98	$23.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.38 / $25.12	Professional		$10.23	$21.38	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.18 / $30.90	Facility		$16.60	$28.18	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $33.88	Professional		$19.95	$23.44	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $34.67	Professional		$26.30	$26.30	$34.67