Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.00 / $25.00	Facility		$15.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.00 / $25.00	Professional		$15.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $33.21	Facility		$32.74	$32.74	$33.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99,999.99 / $99,999.99 / $99,999.99	Facility		$99,999.99	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $33.50 / $99,999.99	Professional		$33.50	$33.50	$99,999.99
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 $35.00 / $40.00 / $60.00	Professional		$35.00	$40.00	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Professional		$23.80	$23.80	$23.80