Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $107.34 / $402.56	Facility		$54.45	$107.34	$402.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $49.63 / $296.98	Professional		$31.05	$49.63	$296.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $44.66 / $199.96	Facility		$26.12	$44.66	$199.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $38.93 / $118.74	Professional		$25.23	$38.93	$118.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $39.46 / $39.46	Facility		$37.94	$39.46	$39.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $46.67 / $76.68	Professional		$30.57	$46.67	$76.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $51.33	Professional		$46.67	$46.67	$51.33
United Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $77.78 / $116.67	Facility		$70.00	$77.78	$116.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $30.80 / $71.69	Professional		$18.70	$30.80	$71.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $46.67 / $46.67	Professional		$40.29	$46.67	$46.67