Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $128.82 / $338.84	Facility		$15.14	$128.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $33.88	Professional		$12.88	$19.95	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $75.86	Facility		$44.67	$54.95	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $47.86	Professional		$16.98	$28.18	$47.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $25.70	Facility		$9.77	$15.14	$25.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $25.70	Professional		$10.72	$18.20	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $32.36	Facility		$14.13	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $38.02	Professional		$13.49	$21.88	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Professional		$19.95	$19.95	$26.92