Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $446.68 / $891.25	Facility		$144.54	$446.68	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $181.97	Professional		$109.65	$138.04	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $660.69	Facility		$102.33	$151.36	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $794.33	Professional		$107.15	$199.53	$794.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $2,691.53	Professional		$97.72	$147.91	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $147.91 / $181.97	Facility		$72.44	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $263.03	Professional		$69.18	$85.11	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $97.72	Professional		$44.67	$97.72	$97.72