Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $89.97 / $301.72	Facility		$53.98	$89.97	$301.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $89.97 / $109.50	Professional		$56.75	$89.97	$109.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.65 / $244.47 / $259.29	Facility		$229.65	$244.47	$259.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $136.71 / $136.71	Professional		$136.71	$136.71	$136.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $44.38 / $48.43	Professional		$21.64	$44.38	$48.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $82.32	Professional		$50.00	$50.00	$82.32
United Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $51.52 / $106.17	Professional		$36.06	$51.52	$106.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $61.78 / $61.78	Professional		$45.99	$61.78	$61.78