Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $167.00 / $756.93	Facility		$113.63	$167.00	$756.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $118.87 / $157.33	Professional		$104.89	$118.87	$157.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $125.06 / $657.48	Facility		$87.79	$125.06	$657.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $212.76 / $254.91	Professional		$139.85	$212.76	$254.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $148.59	Professional		$104.89	$104.89	$148.59
United Facility/Professional Facility Modifier Low / Median / High Price $262.20 / $262.20 / $262.20	Facility		$262.20	$262.20	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $73.42 / $273.89	Professional		$61.18	$73.42	$273.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $104.89	Professional		$104.89	$104.89	$104.89