Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $28.68 / $95.99	Facility		$17.21	$28.68	$95.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $30.28 / $47.41	Professional		$18.48	$30.28	$47.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $272.82 / $637.23	Facility		$34.97	$272.82	$637.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $146.58 / $312.33	Professional		$146.58	$146.58	$312.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $30.89 / $41.06	Professional		$23.46	$30.89	$41.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $58.03	Professional		$50.00	$50.00	$58.03
United Facility/Professional Facility Modifier Low / Median / High Price $230.56 / $524.34 / $1,179.77	Facility		$230.56	$524.34	$1,179.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $23.45 / $50.52	Professional		$17.59	$23.45	$50.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $32.02	Professional		$32.02	$32.02	$32.02