Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $125.89 / $275.42	Facility		$41.69	$125.89	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $208.93	Facility		$26.30	$35.48	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $74.13	Professional		$41.69	$52.48	$74.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $46.77	Professional		$30.90	$30.90	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $51.29	Facility		$17.78	$30.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $44.67	Professional		$14.79	$18.62	$44.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29