Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $45.00 / $399.00	Facility		$40.00	$45.00	$399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.00 / $344.00	Professional		$30.00	$45.00	$344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $140.00 / $208.00	Professional		$100.00	$140.00	$208.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $52.33 / $63.12	Professional		$28.66	$52.33	$63.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $94.31 / $116.62	Professional		$94.31	$94.31	$116.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $80.31	Professional		$80.31	$80.31	$80.31