Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $69.18 / $141.25	Facility		$19.95	$69.18	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.44 / $102.33	Facility		$15.85	$23.44	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Professional		$15.14	$15.14	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $27.54	Professional		$15.85	$18.62	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.39 / $25.12	Facility		$11.75	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $21.38	Professional		$9.77	$11.75	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14