Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $120.23 / $234.42	Facility		$19.95	$120.23	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $52.48	Professional		$19.95	$33.11	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $177.83	Facility		$22.39	$33.11	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $208.93	Professional		$52.48	$63.10	$208.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $38.90	Professional		$26.30	$35.48	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.90 / $43.65	Facility		$18.20	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $64.57	Professional		$15.14	$18.20	$64.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $26.30	Professional		$11.75	$26.30	$26.30