Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $89.54 / $195.20	Facility		$45.95	$89.54	$195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $94.41 / $130.15	Professional		$45.95	$94.41	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $113.81 / $136.44	Professional		$55.69	$113.81	$136.44
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 $68.69 / $98.62 / $180.73	Professional		$68.69	$98.62	$180.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $115.39 / $115.39	Professional		$115.39	$115.39	$115.39