Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $71.36 / $224.60	Facility		$42.11	$71.36	$224.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $42.11 / $104.13	Professional		$29.25	$42.11	$104.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $38.86 / $220.44	Facility		$27.76	$38.86	$220.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $58.85 / $99.13	Professional		$29.28	$58.85	$99.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $137.02	Professional		$35.09	$35.09	$137.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $38.59 / $52.63	Professional		$37.54	$38.59	$52.63
United Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $87.74	Facility		$58.49	$58.49	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $24.57 / $91.65	Professional		$20.47	$24.57	$91.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Professional		$58.49	$58.49	$58.49