Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $216.25 / $686.92	Facility		$145.88	$216.25	$686.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $145.88 / $177.76	Professional		$131.59	$145.88	$177.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $176.49 / $666.40	Facility		$126.06	$176.49	$666.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $184.54 / $353.80	Professional		$93.20	$184.54	$353.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $106.35 / $197.52	Professional		$92.47	$106.35	$197.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $102.58 / $303.92	Professional		$99.78	$102.58	$303.92
United Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $177.25 / $265.88	Facility		$177.25	$177.25	$265.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $101.56 / $295.41	Professional		$62.04	$101.56	$295.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Professional		$177.25	$177.25	$177.25