Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $117.49 / $229.09	Facility		$41.69	$117.49	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Professional		$41.69	$41.69	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $29.51 / $173.78	Facility		$21.38	$29.51	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $42.66	Professional		$25.12	$25.12	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $42.66	Facility		$16.22	$25.12	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $44.67	Professional		$14.79	$17.78	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $42.66	Professional		$25.12	$25.12	$42.66