Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $104.86 / $110.84	Facility		$42.39	$104.86	$110.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $101.86 / $118.44	Professional		$62.92	$101.86	$118.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $83.40 / $298.13	Professional		$83.40	$83.40	$298.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $17.14 / $22.81	Professional		$15.99	$17.14	$22.81
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 $77.81 / $107.80 / $194.05	Professional		$77.81	$107.80	$194.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $30.41	Professional		$30.41	$30.41	$30.41