Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $213.27 / $671.27	Facility		$113.63	$213.27	$671.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $117.12 / $157.33	Professional		$95.27	$117.12	$157.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $134.30 / $657.48	Facility		$95.92	$134.30	$657.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $140.46 / $296.77	Professional		$84.34	$140.46	$296.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $152.80	Professional		$104.89	$104.89	$152.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $90.85	Professional		$53.41	$54.91	$90.85
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $73.42 / $384.58	Professional		$61.18	$73.42	$384.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81