Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $100.00	Professional		$53.70	$75.86	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Facility		$57.54	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $91.20	Professional		$48.98	$57.54	$91.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $112.20 / $158.49	Professional		$35.48	$112.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $91.20	Professional		$54.95	$83.18	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $46.77 / $83.18	Facility		$6.17	$46.77	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $95.50	Professional		$50.12	$70.79	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20