Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $107.85 / $290.83	Facility		$59.76	$107.85	$290.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $62.25 / $107.85	Professional		$50.17	$62.25	$107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $68.54 / $312.20	Facility		$48.95	$68.54	$312.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $79.73 / $141.59	Professional		$41.47	$79.73	$141.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $109.29	Professional		$49.80	$49.80	$109.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $54.78 / $104.52	Professional		$53.28	$54.78	$104.52
United Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $74.70 / $124.50	Facility		$74.70	$74.70	$124.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $35.11 / $172.64	Professional		$29.05	$35.11	$172.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00