Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.30 / $608.78 / $1,916.16	Facility		$349.30	$608.78	$1,916.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $449.10 / $1,104.51	Professional		$334.33	$449.10	$1,104.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.56 / $333.98 / $1,876.84	Facility		$238.56	$333.98	$1,876.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $523.59 / $852.60	Professional		$249.76	$523.59	$852.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $299.39 / $1,556.95	Professional		$299.39	$299.39	$1,556.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.35 / $329.34 / $449.10	Professional		$320.35	$329.34	$449.10
United Facility/Professional Facility Modifier Low / Median / High Price $179.64 / $299.39 / $449.10	Facility		$179.64	$299.39	$449.10
United Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $209.58 / $781.86	Professional		$174.65	$209.58	$781.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $499.00	Professional		$499.00	$499.00	$499.00