Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $82.29 / $222.69	Facility		$42.13	$82.29	$222.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $33.85 / $73.70	Facility		$25.39	$33.85	$73.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.55 / $73.88	Professional		$42.13	$42.55	$73.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $30.86 / $51.43	Professional		$28.80	$30.86	$51.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $42.13 / $63.20	Facility		$37.92	$42.13	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $20.27 / $54.83	Professional		$14.75	$20.27	$54.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $30.86 / $30.86	Professional		$26.64	$30.86	$30.86