Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $18.75 / $25.00	Facility		$18.75	$18.75	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $24.18 / $38.76	Professional		$17.94	$24.18	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $25.73 / $25.73	Facility		$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $21.98 / $25.69	Professional		$15.59	$21.98	$25.69
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 Facility Modifier Low / Median / High Price $0.03 / $17.50 / $25.00	Facility		$0.03	$17.50	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.48 / $41.01	Professional		$18.72	$25.48	$41.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Professional		$11.11	$11.11	$11.11