Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $49.34 / $55.04	Facility		$49.34	$49.34	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $40.69 / $55.04	Professional		$29.94	$40.69	$55.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $112.26	Professional		$16.30	$19.53	$112.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $30.24 / $49.15	Professional		$21.14	$30.24	$49.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.15 / $85.16	Professional		$33.60	$49.15	$85.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $38.20 / $38.20	Professional		$32.14	$38.20	$38.20