Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.76 / $104.47 / $4,857.24	Facility		$98.76	$104.47	$4,857.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $131.88 / $253.59	Professional		$98.76	$131.88	$253.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.89 / $3,645.19 / $6,395.44	Facility		$235.89	$3,645.19	$6,395.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $198.96 / $604.03	Professional		$102.66	$198.96	$604.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $1,691.52 / $2,711.20	Facility		$492.35	$1,691.52	$2,711.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $207.71 / $549.12	Professional		$105.53	$207.71	$549.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $89.19 / $173.20	Professional		$41.48	$89.19	$173.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,219.82 / $6,235.38 / $14,029.60	Facility		$2,219.82	$6,235.38	$14,029.60
United Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $192.00 / $437.39	Professional		$126.46	$192.00	$437.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $100.16 / $100.16	Professional		$100.16	$100.16	$100.16