Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $46.79 / $145.16	Facility		$27.75	$46.79	$145.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $27.75 / $34.97	Professional		$24.52	$27.75	$34.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $39.56 / $132.52	Facility		$28.26	$39.56	$132.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $33.09 / $69.98	Professional		$21.27	$33.09	$69.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $30.85	Facility		$21.37	$21.37	$30.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $41.28	Professional		$21.05	$21.05	$41.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $18.52 / $40.86	Professional		$4.63	$18.52	$40.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $17.89 / $62.91	Professional		$12.28	$17.89	$62.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05