Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,174.90 / $2,290.87	Facility		$302.00	$1,174.90	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $478.63	Professional		$275.42	$331.13	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $1,737.80	Facility		$239.88	$354.81	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $2,041.74	Professional		$251.19	$524.81	$2,041.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $363.08	Professional		$257.04	$257.04	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $380.19	Professional		$54.95	$83.18	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $426.58	Facility		$177.83	$380.19	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $645.65	Professional		$147.91	$177.83	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $257.04	Professional		$114.82	$257.04	$257.04