Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $177.83	Professional		$100.00	$147.91	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $186.21	Professional		$117.49	$158.49	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $331.13	Professional		$131.83	$190.55	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18