Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $5,312.47	Facility		$38.54	$38.54	$5,312.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $49.12	Professional		$38.54	$38.54	$49.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $38.54 / $38.54	Facility		$36.36	$38.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $38.54 / $38.54	Professional		$19.27	$38.54	$38.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.22 / $270.07	Professional		$40.00	$75.22	$270.07
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.93	Professional		$38.54	$38.54	$38.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $49.12 / $49.12	Professional		$38.54	$49.12	$49.12