Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $162.18 / $363.08	Facility		$19.95	$162.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $58.88	Professional		$19.05	$39.81	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $97.72	Facility		$44.67	$54.95	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $69.18	Professional		$19.95	$43.65	$69.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.42 / $36.31	Facility		$11.48	$20.42	$36.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.84 / $47.86	Professional		$13.80	$28.84	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $27.54 / $60.26	Facility		$15.49	$27.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $51.29	Professional		$19.05	$32.36	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $67.61	Professional		$51.29	$51.29	$67.61