Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.79 / $62.48	Facility		$21.00	$21.79	$62.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.79 / $22.31	Professional		$21.00	$21.79	$22.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $28.47 / $301.02	Professional		$14.24	$28.47	$301.02
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 $122.80 / $137.29 / $257.14	Professional		$122.80	$137.29	$257.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $109.47 / $109.47	Professional		$109.47	$109.47	$109.47