Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $62.74 / $146.06	Facility		$42.13	$62.74	$146.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.08 / $83.58	Facility		$28.65	$29.08	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $51.94 / $73.88	Professional		$42.13	$51.94	$73.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $30.86 / $51.43	Professional		$28.80	$30.86	$51.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $22.61 / $70.00	Professional		$3.57	$22.61	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $63.20	Facility		$42.13	$42.13	$63.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $18.72 / $54.83	Professional		$14.75	$18.72	$54.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $26.64	Professional		$22.61	$22.61	$26.64