Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $100.00	Facility		$75.86	$83.18	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $100.00	Professional		$70.79	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $281.84	Facility		$138.04	$138.04	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $125.89	Professional		$64.57	$97.72	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $69.18 / $100.00	Facility		$0.10	$69.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $162.18	Professional		$70.79	$97.72	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50