Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $46.25 / $53.19	Facility		$46.25	$46.25	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $49.23 / $71.20	Professional		$46.25	$49.23	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $671.76 / $971.73	Facility		$291.14	$671.76	$971.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $86.33 / $138.94	Professional		$47.77	$86.33	$138.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $129.82 / $208.08	Facility		$59.59	$129.82	$208.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $360.49 / $514.99	Professional		$53.50	$360.49	$514.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $53.83 / $74.06	Professional		$13.47	$53.83	$74.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $78.70 / $163.06	Professional		$48.43	$78.70	$163.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $64.73	Professional		$64.73	$64.73	$64.73