Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.75 / $198.75 / $228.56	Facility		$198.75	$198.75	$228.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $211.05 / $290.33	Professional		$198.75	$211.05	$290.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.72 / $1,355.74 / $1,903.68	Facility		$266.72	$1,355.74	$1,903.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $337.49 / $555.35	Professional		$196.38	$337.49	$555.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $161.87 / $326.42	Facility		$155.63	$161.87	$326.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $205.65 / $429.50	Professional		$181.74	$205.65	$429.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $246.23 / $425.67	Professional		$37.44	$246.23	$425.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,862.43 / $2,862.43 / $2,862.43	Facility		$2,862.43	$2,862.43	$2,862.43
United Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $266.35 / $535.69	Professional		$226.19	$266.35	$535.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $217.51 / $217.51	Professional		$217.51	$217.51	$217.51