Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $109.65	Facility		$72.44	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $123.03	Professional		$72.44	$95.50	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
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 Professional Modifier Low / Median / High Price $125.89 / $165.96 / $2,511.89	Professional		$125.89	$165.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $134.90	Professional		$1.74	$1.74	$134.90