Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $25.23 / $391.00	Facility		$22.20	$25.23	$391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $27.04 / $35.92	Professional		$22.20	$27.04	$35.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $22.82 / $40.14	Professional		$18.78	$22.82	$40.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $38.81 / $49.68	Professional		$27.49	$38.81	$49.68
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $36.45 / $62.35	Professional		$24.84	$36.45	$62.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $25.95 / $25.95	Professional		$25.95	$25.95	$25.95