Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $88.38 / $94.50	Facility		$88.38	$88.38	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $111.92 / $158.22	Professional		$88.38	$111.92	$158.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $189.52 / $219.79	Facility		$142.13	$189.52	$219.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $132.25 / $248.06	Professional		$92.58	$132.25	$248.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $140.68 / $354.80 / $568.66	Facility		$140.68	$354.80	$568.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $117.56 / $158.97	Professional		$58.78	$117.56	$158.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $42.31 / $150.66	Professional		$25.87	$42.31	$150.66
United Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $114.83 / $188.25	Professional		$103.42	$114.83	$188.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $86.58 / $108.83	Professional		$86.58	$86.58	$108.83