Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.07 / $409.16 / $1,287.85	Facility		$285.07	$409.16	$1,287.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.50 / $289.83 / $428.55	Professional		$242.50	$289.83	$428.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.51 / $333.91 / $1,261.44	Facility		$238.51	$333.91	$1,261.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $349.15 / $669.37	Professional		$176.34	$349.15	$669.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $201.23 / $201.23	Professional		$118.43	$201.23	$201.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $185.77 / $575.07	Professional		$180.71	$185.77	$575.07
United Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $192.17 / $595.51	Professional		$117.38	$192.17	$595.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $335.38 / $335.38	Professional		$335.38	$335.38	$335.38