Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $218.78 / $426.58	Facility		$56.23	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $87.10	Professional		$51.29	$61.66	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $323.59	Facility		$43.65	$58.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $380.19	Professional		$63.10	$87.10	$380.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $70.79	Professional		$15.14	$22.39	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $79.43 / $79.43	Facility		$33.11	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $117.49	Professional		$27.54	$33.11	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $47.86	Professional		$21.38	$47.86	$47.86