Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $69.64 / $80.72	Facility		$68.75	$69.64	$80.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $87.81 / $105.05	Professional		$73.89	$87.81	$105.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $252.58 / $317.06	Facility		$96.70	$252.58	$317.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $116.23 / $185.72	Professional		$79.51	$116.23	$185.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $86.67 / $109.82	Professional		$44.39	$86.67	$109.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.07 / $104.04 / $149.80	Professional		$76.07	$104.04	$149.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $94.71 / $157.01	Professional		$69.15	$94.71	$157.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $64.09 / $81.93	Professional		$64.09	$64.09	$81.93