Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $354.95 / $881.45	Facility		$192.26	$354.95	$881.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $207.05 / $266.20	Professional		$177.47	$207.05	$266.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $227.24 / $1,112.35	Facility		$162.31	$227.24	$1,112.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $237.96 / $502.36	Professional		$142.66	$237.96	$502.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $177.47 / $258.54	Professional		$177.47	$177.47	$258.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $50.09 / $68.31	Professional		$48.72	$50.09	$68.31
United Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $124.23 / $463.46	Professional		$103.53	$124.23	$463.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $295.79	Professional		$295.79	$295.79	$295.79