Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $52.48	Professional		$30.20	$44.67	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $181.97	Professional		$16.22	$19.50	$181.97
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 $36.31 / $102.33 / $162.18	Facility		$36.31	$102.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $89.13	Professional		$31.62	$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