Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $123.37 / $388.30	Facility		$72.81	$123.37	$388.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $116.29 / $158.90	Professional		$70.78	$116.29	$158.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $120.13 / $379.72	Facility		$85.82	$120.13	$379.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $105.93 / $171.94	Professional		$50.58	$105.93	$171.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $60.67 / $114.56	Professional		$60.67	$60.67	$114.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.96 / $73.98 / $100.89	Professional		$71.96	$73.98	$100.89
United Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $151.68	Facility		$101.12	$101.12	$151.68
United Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $42.47 / $151.68	Professional		$35.39	$42.47	$151.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $101.12	Professional		$101.12	$101.12	$101.12