Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $54.95	Professional		$26.92	$40.74	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $112.20	Professional		$16.22	$19.50	$112.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $48.98	Professional		$22.39	$32.36	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $44.67	Facility		$30.90	$33.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $89.13	Professional		$30.90	$48.98	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $38.02	Professional		$30.20	$38.02	$38.02