Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $213.99 / $522.69	Facility		$114.01	$213.99	$522.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $119.27 / $157.86	Professional		$95.59	$119.27	$157.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $134.75 / $660.04	Facility		$96.26	$134.75	$660.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $142.09 / $297.99	Professional		$84.52	$142.09	$297.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $105.24 / $153.31	Professional		$105.24	$105.24	$153.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $115.76 / $157.86	Professional		$112.60	$115.76	$157.86
United Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $73.67 / $274.83	Professional		$61.39	$73.67	$274.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Professional		$175.40	$175.40	$175.40