Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $44.89 / $167.00	Facility		$18.10	$44.89	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $35.75 / $150.52	Professional		$32.50	$35.75	$150.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $44.56 / $177.12	Facility		$31.82	$44.56	$177.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $47.59 / $80.64	Professional		$23.73	$47.59	$80.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $204.75	Professional		$28.35	$28.35	$204.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $31.18 / $42.52	Professional		$30.33	$31.18	$42.52
United Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Facility		$47.25	$47.25	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $19.85 / $74.03	Professional		$16.54	$19.85	$74.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25