Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.99 / $112.99 / $112.99	Facility		$112.99	$112.99	$112.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $112.99 / $112.99	Professional		$71.90	$112.99	$112.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $323.00	Facility		$112.34	$112.34	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $65.19 / $470.87	Professional		$28.62	$65.19	$470.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $67.23 / $78.05	Professional		$36.35	$67.23	$78.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $85.13 / $146.99	Professional		$56.42	$85.13	$146.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $117.54 / $117.54	Professional		$117.54	$117.54	$117.54