Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.00 / $4.00	Facility		$2.40	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.42 / $8.42	Professional		$7.74	$8.42	$8.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.67	Professional		$0.67	$0.67	$0.67