Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $594.99 / $2,468.28	Facility		$150.72	$594.99	$2,468.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $76.20 / $160.49	Professional		$60.53	$76.20	$160.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $134.22 / $211.50	Facility		$93.46	$134.22	$211.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $101.46 / $173.40	Professional		$65.37	$101.46	$173.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $76.45 / $135.44	Professional		$71.34	$76.45	$135.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $41.04 / $58.68	Professional		$14.89	$41.04	$58.68
United Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $79.92 / $165.96	Professional		$53.51	$79.92	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33