Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $26.92	Professional		$15.85	$22.91	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $117.49	Professional		$58.88	$117.49	$117.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $26.92	Professional		$12.30	$25.12	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Professional		$40.74	$40.74	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,011.87 / $10,715.19	Facility		$676.08	$5,011.87	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $42.66	Professional		$19.05	$25.70	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $28.18	Professional		$25.12	$28.18	$28.18