Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $1,662.64 / $4,016.25	Facility		$30.23	$1,662.64	$4,016.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $33.33	Professional		$30.23	$30.23	$33.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $30.23 / $30.23	Facility		$28.52	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $31.94 / $31.94	Professional		$15.97	$31.94	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $42.93 / $64.42	Professional		$28.62	$42.93	$64.42
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.30 / $30.30	Professional		$30.23	$30.30	$30.30