Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $85.06 / $115.03	Facility		$52.49	$85.06	$115.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.49 / $57.73	Professional		$50.45	$52.49	$57.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $52.49 / $52.96	Facility		$49.52	$52.49	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Professional		$52.49	$52.49	$52.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Facility		$52.49	$52.49	$52.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $52.49 / $52.49	Professional		$26.25	$52.49	$52.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $110.52 / $4,106,760.00	Professional		$56.67	$110.52	$4,106,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $58.43	Professional		$52.49	$55.64	$58.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $50.45 / $52.49	Professional		$50.45	$50.45	$52.49