Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $90.72 / $225.29	Facility		$42.83	$90.72	$225.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $19.45 / $58.21	Professional		$18.10	$19.45	$58.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $49.69 / $223.76	Facility		$18.77	$49.69	$223.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $41.70 / $110.67	Professional		$14.99	$41.70	$110.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $45.36 / $74.53	Professional		$25.44	$45.36	$74.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $48.27	Professional		$30.17	$30.17	$48.27
United Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $113.40	Facility		$75.59	$75.59	$113.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $31.75 / $77.81	Professional		$10.50	$31.75	$77.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $39.15	Professional		$30.24	$30.24	$39.15