Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $128.82 / $257.04	Facility		$33.11	$128.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $52.48	Professional		$30.20	$36.31	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $190.55	Facility		$24.55	$36.31	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $229.09	Professional		$57.54	$69.18	$229.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $39.81	Professional		$28.18	$28.18	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $42.66	Professional		$28.18	$38.02	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $46.77	Facility		$19.95	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $70.79	Professional		$16.60	$19.95	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.18 / $28.18	Professional		$12.59	$28.18	$28.18