Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $104.71	Professional		$43.65	$89.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $269.15	Professional		$23.99	$51.29	$269.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $66.07	Professional		$20.89	$41.69	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $125.89	Professional		$50.12	$50.12	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $74.13 / $107.15	Facility		$0.10	$74.13	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $131.83	Professional		$33.88	$54.95	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $234.42 / $234.42	Professional		$60.26	$234.42	$234.42