Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $244.00 / $768.00	Facility		$144.00	$244.00	$768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $184.00 / $428.21	Professional		$134.00	$184.00	$428.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $278.14 / $751.76	Facility		$206.60	$278.14	$751.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $201.98 / $339.60	Professional		$100.11	$201.98	$339.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $601.90	Professional		$120.00	$120.00	$601.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $132.00 / $180.00	Professional		$128.40	$132.00	$180.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $300.00	Facility		$200.00	$200.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $84.00 / $313.37	Professional		$70.00	$84.00	$313.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00