Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $65.59 / $169.98	Facility		$33.01	$65.59	$169.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $79.08 / $214.08	Facility		$58.74	$79.08	$214.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $57.40 / $96.68	Professional		$28.58	$57.40	$96.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $122.54	Professional		$34.22	$34.22	$122.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $37.64 / $51.33	Professional		$36.61	$37.64	$51.33
United Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $85.56	Facility		$57.04	$57.04	$85.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $23.96 / $89.37	Professional		$19.96	$23.96	$89.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04