Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $41.81 / $140.27	Facility		$25.09	$41.81	$140.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $41.81 / $48.51	Professional		$25.09	$41.81	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $270.07 / $333.62	Facility		$138.63	$270.07	$333.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $43.68 / $146.58	Professional		$21.84	$43.68	$146.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.83 / $33.67	Professional		$22.73	$30.83	$33.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $58.12	Professional		$40.00	$40.00	$58.12
United Facility/Professional Facility Modifier Low / Median / High Price $252.18 / $252.18 / $567.40	Facility		$252.18	$252.18	$567.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.92 / $70.31	Professional		$33.11	$36.92	$70.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $42.72 / $42.72	Professional		$42.72	$42.72	$42.72