Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $151.13	Facility		$25.45	$25.45	$151.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $28.86 / $151.13	Professional		$25.45	$28.86	$151.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $34.71 / $58.99	Professional		$24.23	$34.71	$58.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $19.47 / $27.81	Professional		$15.25	$19.47	$27.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $45.72 / $62.35	Professional		$35.71	$45.72	$62.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $29.78 / $48.61	Professional		$21.84	$29.78	$48.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $35.71 / $35.71	Professional		$35.71	$35.71	$35.71