Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $5,495.41	Facility		$42.66	$112.20	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $181.97	Professional		$40.74	$107.15	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $407.38	Facility		$70.79	$190.55	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $114.82 / $234.42	Professional		$45.71	$114.82	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $151.36	Professional		$54.95	$102.33	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $147.91	Professional		$32.36	$36.31	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $257.04	Facility		$102.33	$245.47	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $181.97	Professional		$38.02	$89.13	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $128.82	Professional		$33.88	$85.11	$128.82