Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $142.71 / $266.02	Facility		$60.65	$142.71	$266.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $57.56 / $80.73	Professional		$37.21	$57.56	$80.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $66.58 / $263.76	Facility		$47.56	$66.58	$263.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $68.09 / $124.43	Professional		$39.70	$68.09	$124.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $52.00 / $86.66	Professional		$26.00	$52.00	$86.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $46.33 / $63.18	Professional		$45.06	$46.33	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $36.40 / $116.99	Professional		$24.57	$36.40	$116.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12