Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Facility		$117.49	$117.49	$169.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $89.13	Professional		$30.90	$50.12	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67