Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $676.08 / $1,348.96	Facility		$173.78	$676.08	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $239.88	Professional		$147.91	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $1,000.00	Facility		$141.25	$208.93	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $1,202.26	Professional		$199.53	$302.00	$1,202.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $223.87	Professional		$147.91	$199.53	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $223.87 / $251.19	Facility		$104.71	$223.87	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $371.54	Professional		$87.10	$104.71	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $147.91	Professional		$67.61	$147.91	$147.91