Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $89.85 / $102.94	Facility		$83.55	$89.85	$102.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $100.22 / $145.66	Professional		$83.55	$100.22	$145.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $130.76 / $195.71	Professional		$88.24	$130.76	$195.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $156.56 / $156.56	Professional		$156.56	$156.56	$156.56
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $97.63 / $130.75	Professional		$84.04	$97.63	$130.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $153.41 / $195.71	Professional		$153.41	$153.41	$195.71