Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $1,412.54	Facility		$181.97	$724.44	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $288.40	Professional		$169.82	$204.17	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $1,071.52	Facility		$134.90	$199.53	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $1,258.93	Professional		$323.59	$380.19	$1,258.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Professional		$158.49	$158.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $158.49 / $234.42	Professional		$50.12	$158.49	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $263.03	Facility		$109.65	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $398.11	Professional		$91.20	$109.65	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $158.49	Professional		$70.79	$158.49	$158.49