Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $446.68 / $1,071.52	Facility		$120.23	$446.68	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $165.96	Professional		$100.00	$123.03	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $812.83	Facility		$93.33	$138.04	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $954.99	Professional		$97.72	$239.88	$954.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $177.83	Professional		$120.23	$162.18	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $199.53	Facility		$69.18	$134.90	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $213.80	Professional		$57.54	$69.18	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $120.23	Professional		$53.70	$120.23	$120.23