Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $102.17 / $119.42	Professional		$72.34	$102.17	$119.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $99.43 / $99.43 / $99.43	Professional	25	$99.43	$99.43	$99.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $95.96	Facility		$95.96	$95.96	$95.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $116.25	Professional		$94.04	$94.04	$116.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $109.66 / $163.41	Professional		$73.76	$109.66	$163.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $82.42 / $83.22	Professional		$80.83	$82.42	$83.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $103.54 / $155.63	Professional		$73.14	$103.54	$155.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $87.23 / $87.23	Professional		$87.23	$87.23	$87.23