Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $61.66	Professional		$38.02	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $194.98	Facility		$87.10	$173.78	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $263.03	Professional		$46.77	$87.10	$263.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $67.61	Professional		$37.15	$58.88	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $114.82	Professional		$50.12	$50.12	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $74.13 / $114.82	Facility		$41.69	$74.13	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $114.82	Professional		$44.67	$61.66	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23