Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $107.35 / $292.27	Facility		$43.71	$107.35	$292.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $76.45 / $162.19	Professional		$57.98	$76.45	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $72.42 / $279.04	Facility		$51.73	$72.42	$279.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $75.70 / $145.15	Professional		$38.24	$75.70	$145.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $177.09	Professional		$44.60	$44.60	$177.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $49.06 / $124.73	Professional		$47.72	$49.06	$124.73
United Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Facility		$74.33	$74.33	$74.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $41.69 / $170.96	Professional		$26.02	$41.69	$170.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Professional		$74.33	$74.33	$74.33