Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $276.42 / $937.97	Facility		$179.16	$276.42	$937.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $228.64 / $292.61	Professional		$155.47	$228.64	$292.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $299.83 / $779.80	Facility		$224.89	$299.83	$779.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $221.82 / $413.50	Professional		$108.91	$221.82	$413.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $366.68	Professional		$124.39	$124.39	$366.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $98.97 / $542.20	Professional		$96.27	$98.97	$542.20
United Facility/Professional Facility Modifier Low / Median / High Price $310.95 / $310.95 / $310.95	Facility		$310.95	$310.95	$310.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $138.21 / $456.08	Professional		$87.07	$138.21	$456.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31