Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $107.55 / $169.34	Facility		$93.52	$107.55	$169.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $93.52 / $109.71	Professional		$93.52	$93.52	$109.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $65.54 / $130.40	Facility		$30.73	$65.54	$130.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.47 / $109.00	Professional		$62.78	$78.47	$109.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $269.00 / $776.00 / $2,303.00	Facility		$269.00	$776.00	$2,303.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $26.83 / $207.00	Professional		$18.78	$26.83	$207.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $41.96	Professional		$32.40	$32.40	$41.96