Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.72 / $137.11 / $330.04	Facility		$123.72	$137.11	$330.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $146.41 / $261.47	Professional		$118.64	$146.41	$261.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $231.60	Professional		$128.90	$128.90	$231.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $139.66 / $183.38	Facility		$103.46	$139.66	$183.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $199.51 / $298.61	Professional		$159.61	$199.51	$298.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $238.88 / $238.88	Professional		$238.88	$238.88	$238.88
United Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $145.86 / $189.88	Professional		$116.64	$145.86	$189.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $155.36 / $298.61	Professional		$155.36	$155.36	$298.61