Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $57.65 / $200.95	Facility		$19.48	$57.65	$200.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $35.75 / $200.95	Professional		$32.50	$35.75	$200.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $53.13 / $177.12	Facility		$37.94	$53.13	$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 / $276.12	Professional		$28.35	$28.35	$276.12
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 / $70.88	Facility		$47.25	$47.25	$70.88
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