Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.79 / $112.20	Facility		$12.88	$14.79	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $489.78	Professional		$15.85	$25.70	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $44.67 / $338.84	Professional		$12.30	$44.67	$338.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $269.15 / $407.38	Professional		$83.18	$269.15	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $239.88	Facility		$234.42	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $63.10 / $281.84	Professional		$13.18	$63.10	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $338.84	Professional		$14.79	$14.79	$338.84