Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $23.74 / $57.99	Facility		$21.18	$23.74	$57.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $24.62	Professional		$21.18	$21.98	$24.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $24.56	Facility		$22.51	$22.51	$24.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $22.51 / $22.51	Professional		$11.26	$22.51	$22.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $40.00 / $41.87	Professional		$34.85	$40.00	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.39 / $24.57	Professional		$22.07	$23.39	$24.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $24.79	Professional		$22.07	$22.07	$24.79