Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,897.79 / $10,964.78	Facility		$645.65	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $269.15	Professional		$89.13	$169.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $162.18 / $602.56	Facility		$44.67	$162.18	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $371.54	Professional		$100.00	$199.53	$371.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $302.00	Professional		$112.20	$165.96	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $109.65 / $331.13	Professional		$32.36	$109.65	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $295.12	Facility		$79.43	$158.49	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $331.13	Professional		$87.10	$173.78	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $177.83 / $223.87	Professional		$75.86	$177.83	$223.87