Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $28.18	Facility		$14.13	$15.49	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $43.65	Professional		$15.14	$25.70	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $109.65 / $123.03	Facility		$28.18	$109.65	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $67.61	Professional		$17.78	$33.88	$67.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $47.86	Professional		$15.49	$32.36	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $69.18 / $70.79	Facility		$18.62	$69.18	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $54.95	Professional		$14.79	$27.54	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $44.67	Professional		$14.79	$33.11	$44.67