Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $152.34 / $372.11	Facility		$87.41	$152.34	$372.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $87.41 / $128.94	Professional		$75.44	$87.41	$128.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $103.06 / $468.92	Facility		$73.62	$103.06	$468.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $97.33 / $211.71	Professional		$59.98	$97.33	$211.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $109.15	Professional		$74.92	$74.92	$109.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $125.74 / $201.18	Professional		$125.74	$125.74	$201.18
United Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $112.38 / $187.30	Facility		$112.38	$112.38	$187.30
United Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $52.45 / $287.20	Professional		$43.70	$52.45	$287.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $124.87	Professional		$124.87	$124.87	$124.87