Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $60.50 / $190.43	Facility		$42.15	$60.50	$190.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $42.85 / $57.03	Professional		$35.85	$42.85	$57.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $49.38 / $186.04	Facility		$35.28	$49.38	$186.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $51.71 / $99.14	Professional		$26.12	$51.71	$99.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $29.75 / $31.71	Professional		$28.30	$29.75	$31.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $32.72 / $85.02	Professional		$31.83	$32.72	$85.02
United Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $49.59	Facility		$49.59	$49.59	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $28.41 / $101.48	Professional		$17.36	$28.41	$101.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $49.59	Professional		$49.59	$49.59	$49.59