Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.77 / $858.60 / $1,178.86	Facility		$366.77	$858.60	$1,178.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $496.87	Professional		$416.78	$416.78	$496.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.73 / $274.30 / $597.36	Facility		$205.73	$274.30	$597.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $416.78	Professional		$250.07	$250.07	$416.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $625.16	Facility		$416.78	$416.78	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $175.05 / $667.97	Professional		$145.87	$175.05	$667.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $250.07	Professional		$250.07	$250.07	$250.07