Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $193.33 / $221.51	Facility		$174.45	$193.33	$221.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $221.51 / $368.69	Professional		$174.45	$221.51	$368.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $272.64	Professional		$193.04	$193.04	$272.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $196.95 / $258.58	Facility		$145.88	$196.95	$258.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $260.50 / $421.06	Professional		$221.42	$260.50	$421.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $234.18 / $257.59	Professional		$152.21	$234.18	$257.59
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $205.69 / $294.55	Professional		$180.82	$205.69	$294.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $246.56	Professional		$234.18	$234.18	$246.56