Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $47.70 / $188.05	Facility		$20.04	$47.70	$188.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $30.54 / $163.12	Facility		$21.81	$30.54	$163.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $52.97 / $63.47	Professional		$52.97	$52.97	$63.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $36.92	Professional		$26.06	$26.06	$36.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $65.14	Facility		$43.43	$43.43	$65.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $18.23 / $90.33	Professional		$15.20	$18.23	$90.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Professional		$26.06	$26.06	$26.06