Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $197.04 / $1,137.58	Facility		$167.00	$197.04	$1,137.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $183.90 / $236.45	Professional		$157.63	$183.90	$236.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.68 / $172.90 / $376.55	Facility		$129.68	$172.90	$376.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $320.02 / $383.42	Professional		$320.02	$320.02	$383.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $229.64	Professional		$157.63	$157.63	$229.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $110.34 / $411.65	Professional		$91.95	$110.34	$411.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $157.63	Professional		$157.63	$157.63	$157.63