Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $51.70 / $165.83	Facility		$30.95	$51.70	$165.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $32.24 / $48.74	Professional		$27.97	$32.24	$48.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $39.27 / $159.28	Facility		$28.06	$39.27	$159.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $35.72 / $75.81	Professional		$21.68	$35.72	$75.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $48.21	Professional		$25.43	$25.43	$48.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $17.66 / $47.75	Professional		$4.42	$17.66	$47.75
United Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $63.57 / $63.57	Facility		$63.57	$63.57	$63.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $28.45 / $93.24	Professional		$19.07	$28.45	$93.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $25.43	Professional		$25.43	$25.43	$25.43