Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.97 / $200.97 / $200.97	Facility		$200.97	$200.97	$200.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $200.97 / $223.20	Professional		$199.79	$200.97	$223.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $10,000.00	Facility		$400.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $235.31 / $421.53	Professional		$170.28	$235.31	$421.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $114.19 / $149.59	Professional		$110.22	$114.19	$149.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.19 / $258.95 / $483.98	Professional		$184.19	$258.95	$483.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $222.65 / $222.65	Professional		$222.65	$222.65	$222.65