Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $69.34 / $142.38	Facility		$47.41	$69.34	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $123.67 / $159.27	Professional		$52.49	$123.67	$159.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $102.94 / $133.31	Professional		$96.08	$102.94	$133.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $142.52 / $263.02	Professional		$104.21	$142.52	$263.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $118.98 / $118.98	Professional		$58.25	$118.98	$118.98