Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $93.33 / $181.97	Facility		$23.99	$93.33	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $37.15	Professional		$21.88	$25.70	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.12 / $138.04	Facility		$18.62	$25.12	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $162.18	Professional		$26.92	$41.69	$162.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.84	Professional		$20.42	$20.42	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $30.20	Professional		$20.42	$27.54	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $33.88	Facility		$14.13	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $51.29	Professional		$11.75	$14.13	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.42 / $20.42	Professional		$9.12	$20.42	$20.42