Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $75.95 / $75.95	Facility		$75.95	$75.95	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.22 / $30.15	Professional		$17.30	$20.22	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $34.94 / $71.55	Professional		$21.52	$34.94	$71.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $26.72 / $31.50	Professional		$15.73	$26.72	$31.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $14.12 / $27.40	Professional		$3.52	$14.12	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $19.07 / $52.44	Professional		$11.80	$19.07	$52.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $16.04 / $16.04	Professional		$7.22	$16.04	$16.04