Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $87.33 / $109.03	Facility		$87.33	$87.33	$109.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $90.41 / $148.41	Professional		$87.33	$90.41	$148.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $639.46 / $868.35	Facility		$59.50	$639.46	$868.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $141.38 / $260.48	Professional		$90.72	$141.38	$260.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $138.97 / $354.80 / $568.66	Facility		$138.97	$354.80	$568.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $117.71 / $218.70	Professional		$86.73	$117.71	$218.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $90.34 / $167.11	Professional		$54.82	$90.34	$167.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $139.49 / $255.40	Professional		$109.05	$139.49	$255.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $98.00	Professional		$98.00	$98.00	$98.00