Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $1,445.44	Facility		$79.43	$79.43	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $91.20	Professional		$79.43	$79.43	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $141.25	Professional		$77.62	$77.62	$141.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $95.50	Professional		$39.81	$74.13	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $154.88	Facility		$117.49	$125.89	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $60.26	Professional		$39.81	$40.74	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $74.13	Professional		$30.20	$30.20	$74.13