Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $186.66 / $551.77	Facility		$98.99	$186.66	$551.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $103.05 / $162.19	Professional		$85.38	$103.05	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $110.88 / $479.12	Facility		$79.20	$110.88	$479.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $118.25 / $227.90	Professional		$64.30	$118.25	$227.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $163.33	Professional		$76.45	$76.45	$163.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $84.10 / $190.95	Professional		$81.81	$84.10	$190.95
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $63.81 / $199.66	Professional		$44.60	$63.81	$199.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $127.43	Professional		$127.43	$127.43	$127.43