Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $83.63 / $204.28	Facility		$38.71	$83.63	$204.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $47.99 / $61.70	Professional		$32.40	$47.99	$61.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $43.48 / $257.39	Facility		$31.05	$43.48	$257.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $57.06 / $116.26	Professional		$30.57	$57.06	$116.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $41.13 / $41.13	Professional		$22.74	$41.13	$41.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $35.68 / $74.84	Professional		$34.71	$35.68	$74.84
United Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $68.55 / $102.82	Facility		$68.55	$68.55	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.79 / $107.41	Professional		$23.99	$28.79	$107.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $68.55	Professional		$68.55	$68.55	$68.55