Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $80.93 / $109.44	Facility		$47.97	$80.93	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $52.77	Professional		$47.97	$48.00	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $47.97	Facility		$45.26	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Facility		$47.97	$47.97	$47.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.97 / $47.97	Professional		$23.99	$47.97	$47.97
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 $48.23 / $58.84 / $86.09	Facility		$48.23	$58.84	$86.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $48.00	Professional		$47.97	$48.00	$48.00