Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $67.76 / $167.00	Facility		$39.99	$67.76	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $42.77 / $135.00	Professional		$38.88	$42.77	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $70.20 / $164.56	Facility		$37.94	$70.20	$164.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $64.02 / $94.23	Professional		$29.44	$64.02	$94.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $33.32 / $65.81	Professional		$25.00	$33.32	$65.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $36.65	Professional		$33.32	$33.32	$36.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $23.33 / $72.29	Professional		$19.44	$23.33	$72.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $33.32 / $33.32	Professional		$28.77	$33.32	$33.32