Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $167.61 / $391.68	Facility		$77.86	$167.61	$391.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $37.99 / $91.62	Professional		$29.58	$37.99	$91.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $60.44 / $98.83	Professional		$24.70	$60.44	$98.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $16.66 / $52.23	Facility		$11.49	$16.66	$52.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $40.47 / $65.03	Professional		$26.95	$40.47	$65.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $33.84 / $50.00	Professional		$22.56	$33.84	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $58.22 / $78.67	Professional		$25.71	$58.22	$78.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $22.56	Professional		$22.56	$22.56	$22.56