Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $97.16 / $97.16	Facility		$97.16	$97.16	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $90.49 / $108.60	Professional		$45.30	$90.49	$108.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $61.83 / $268.18	Professional		$23.06	$61.83	$268.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $39.45 / $59.82	Professional		$17.97	$39.45	$59.82
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 $32.72 / $48.21 / $112.24	Professional		$32.72	$48.21	$112.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $236.16 / $236.16	Professional		$236.16	$236.16	$236.16