Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Facility		$74.13	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $147.91	Facility		$83.18	$100.00	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $125.89	Professional		$77.62	$83.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $134.90	Professional		$87.10	$87.10	$134.90