Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $93.33 / $199.53	Facility		$30.20	$93.33	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $58.88	Professional		$22.91	$32.36	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $165.96	Facility		$22.39	$33.11	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $66.07	Professional		$17.78	$27.54	$66.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $31.62	Professional		$24.55	$24.55	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $24.55 / $43.65	Professional		$5.37	$24.55	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $29.51 / $40.74	Facility		$16.98	$29.51	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $81.28	Professional		$18.20	$24.55	$81.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $24.55 / $24.55	Professional		$10.96	$24.55	$24.55