Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.25 / $530.79 / $1,670.67	Facility		$313.25	$530.79	$1,670.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $400.00 / $562.66	Professional		$291.50	$400.00	$562.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $117.54 / $1,636.04	Facility		$83.97	$117.54	$1,636.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.34 / $439.20 / $738.55	Professional		$217.34	$439.20	$738.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $261.04 / $792.18	Professional		$88.14	$261.04	$792.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $84.86 / $115.72	Professional		$82.55	$84.86	$115.72
United Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $435.07 / $652.60	Facility		$435.07	$435.07	$652.60
United Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $182.73 / $681.69	Professional		$152.27	$182.73	$681.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Professional		$435.07	$435.07	$435.07