Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $99.65 / $235.06	Facility		$64.98	$99.65	$235.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $78.50 / $110.61	Professional		$64.98	$78.50	$110.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $96.42 / $183.51	Facility		$81.28	$96.42	$183.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $98.67 / $167.57	Professional		$63.52	$98.67	$167.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $52.60 / $79.70	Professional		$19.68	$52.60	$79.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $72.97 / $115.92	Professional		$53.52	$72.97	$115.92
United Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $83.97 / $129.49	Professional		$59.45	$83.97	$129.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $63.95	Professional		$52.85	$52.85	$63.95