Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $535.16 / $723.72	Facility		$318.52	$535.16	$723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $318.52 / $350.38	Professional		$317.42	$318.52	$350.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $318.52 / $326.93	Facility		$300.50	$318.52	$326.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Facility		$318.52	$318.52	$318.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $336.56 / $336.56	Professional		$168.28	$336.56	$336.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $297.46 / $495.77	Professional		$9.28	$297.46	$495.77
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $337.64 / $354.59	Professional		$318.52	$337.64	$354.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $317.42 / $318.52	Professional		$317.42	$317.42	$318.52