Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $123.03	Facility		$72.44	$120.23	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $128.82	Professional		$72.44	$117.49	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $691.83	Professional		$199.53	$239.88	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $141.25	Professional		$123.03	$134.90	$141.25