Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $62.31 / $196.11	Facility		$36.77	$62.31	$196.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $58.46 / $58.73	Professional		$35.75	$58.46	$58.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $64.45 / $192.40	Facility		$46.04	$64.45	$192.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $51.59 / $86.89	Professional		$25.63	$51.59	$86.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $78.59	Professional		$30.64	$30.64	$78.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $33.70 / $45.96	Professional		$32.78	$33.70	$45.96
United Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $76.59	Facility		$51.07	$51.07	$76.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $21.45 / $80.02	Professional		$17.87	$21.45	$80.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07