Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $75.86	Facility		$51.29	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $89.13	Professional		$51.29	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $131.83	Professional		$85.11	$91.20	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $199.53 / $691.83	Professional		$50.12	$199.53	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $204.17	Facility		$91.20	$151.36	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $134.90	Professional		$1.74	$1.74	$134.90