Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $181.97	Facility		$19.95	$23.99	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $40.74	Professional		$19.95	$23.99	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $50.12	Facility		$30.90	$30.90	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $30.90	Professional		$22.39	$22.39	$30.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $28.84 / $48.98	Professional		$10.72	$28.84	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.90	Professional		$38.02	$38.02	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $47.86	Facility		$19.05	$31.62	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $35.48	Professional		$20.89	$23.44	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $48.98	Professional		$28.84	$28.84	$48.98