Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $28.18	Professional		$15.85	$21.88	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $28.18	Professional		$14.13	$23.99	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $33.11	Professional		$27.54	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $15.14	Facility		$11.48	$11.48	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $58.88	Professional		$9.55	$12.02	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72