Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $90.00	Facility		$67.50	$67.50	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $90.00 / $191.00	Professional		$65.55	$90.00	$191.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $79.63 / $93.10	Professional		$56.49	$79.63	$93.10
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 $67.50 / $94.00 / $150.68	Professional		$67.50	$94.00	$150.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $40.25	Professional		$40.25	$40.25	$40.25