Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $95.50 / $190.55	Facility		$25.12	$95.50	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $38.02	Professional		$21.88	$26.92	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $141.25	Facility		$19.95	$29.51	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $169.82	Professional		$28.18	$42.66	$169.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $29.51	Professional		$20.89	$20.89	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $31.62	Professional		$20.89	$28.18	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $31.62 / $35.48	Facility		$14.79	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $52.48	Professional		$12.30	$14.79	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $20.89	Professional		$9.55	$20.89	$20.89