Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $116.61 / $142.18	Facility		$87.71	$116.61	$142.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $132.04 / $186.50	Professional		$92.91	$132.04	$186.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $107.69 / $128.19	Facility		$106.20	$107.69	$128.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $165.82 / $282.52	Professional		$100.80	$165.82	$282.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $131.03 / $180.07	Professional		$65.52	$131.03	$180.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $143.27 / $223.80	Professional		$103.35	$143.27	$223.80
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $158.08 / $280.62	Professional		$113.93	$158.08	$280.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $127.66 / $127.66	Professional		$80.17	$127.66	$127.66