Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $47.96 / $150.94	Facility		$16.23	$47.96	$150.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.75 / $103.53	Professional		$27.52	$35.75	$103.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $34.92 / $147.84	Facility		$24.95	$34.92	$147.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $41.23 / $66.70	Professional		$19.75	$41.23	$66.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $23.59 / $121.95	Professional		$23.59	$23.59	$121.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.94 / $35.38	Professional		$25.24	$25.94	$35.38
United Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $58.96	Facility		$39.31	$39.31	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.51 / $61.59	Professional		$13.76	$16.51	$61.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31