Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $52.83 / $129.08	Facility		$47.15	$52.83	$129.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $54.69	Professional		$47.15	$48.92	$54.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $70.00	Facility		$52.07	$52.07	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $53.59 / $53.59	Professional		$49.83	$53.59	$53.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $62.48 / $65.59	Professional		$58.94	$62.48	$65.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07