Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $67.02	Facility		$58.28	$58.28	$67.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $61.87 / $92.57	Professional		$58.28	$61.87	$92.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.24 / $134.97 / $154.07	Facility		$101.24	$134.97	$154.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $84.89 / $159.02	Professional		$60.24	$84.89	$159.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $205.39 / $329.20	Facility		$93.11	$205.39	$329.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $81.09 / $103.35	Professional		$59.85	$81.09	$103.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $42.55 / $131.22	Professional		$26.24	$42.55	$131.22
United Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $78.79 / $135.29	Professional		$69.15	$78.79	$135.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $85.50 / $110.30	Professional		$81.09	$85.50	$110.30