Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $3,540.42 / $6,815.77	Facility		$55.46	$3,540.42	$6,815.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $57.54 / $58.93	Professional		$55.46	$57.54	$58.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $3,339.00	Facility		$58.93	$58.93	$3,339.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Facility		$61.33	$61.33	$61.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $3,753.60	Professional		$61.33	$61.33	$3,753.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $109.78	Professional		$40.00	$50.00	$109.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $60.67	Professional		$57.78	$57.78	$60.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $65.01 / $65.01	Professional		$65.01	$65.01	$65.01