Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $53.25 / $167.62	Facility		$38.40	$53.25	$167.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.39 / $66.48	Professional		$32.40	$40.39	$66.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $43.48 / $164.40	Facility		$31.05	$43.48	$164.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $45.29 / $86.83	Professional		$22.87	$45.29	$86.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $26.19 / $85.84	Professional		$26.19	$26.19	$85.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $30.07 / $74.84	Professional		$29.25	$30.07	$74.84
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $65.47	Facility		$43.65	$43.65	$65.47
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $25.01 / $77.51	Professional		$18.32	$25.01	$77.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65