Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $195.38 / $1,127.96	Facility		$167.00	$195.38	$1,127.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $177.14 / $234.45	Professional		$156.30	$177.14	$234.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $180.02 / $979.84	Facility		$128.59	$180.02	$979.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $317.39 / $380.27	Professional		$317.39	$317.39	$380.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $156.30 / $221.43	Professional		$156.30	$156.30	$221.43
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 Facility Modifier Low / Median / High Price $260.50 / $260.50 / $390.75	Facility		$260.50	$260.50	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $109.41 / $408.17	Professional		$91.18	$109.41	$408.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $156.30 / $156.30	Professional		$156.30	$156.30	$156.30