Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $57.34 / $167.00	Facility		$19.29	$57.34	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $36.65 / $133.72	Professional		$32.50	$36.65	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $36.64 / $177.12	Facility		$26.17	$36.64	$177.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $47.59 / $80.03	Professional		$23.56	$47.59	$80.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $180.97	Professional		$28.20	$28.20	$180.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $31.02 / $42.30	Professional		$30.17	$31.02	$42.30
United Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $70.50	Facility		$47.00	$47.00	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $19.73 / $73.64	Professional		$16.45	$19.73	$73.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00