Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $155.00 / $287.00	Facility		$59.60	$155.00	$287.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $83.27 / $109.25	Professional		$57.82	$83.27	$109.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $75.00	Facility		$45.00	$60.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $116.58 / $177.03	Professional		$84.53	$116.58	$177.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $42.83 / $62.07	Facility		$26.45	$42.83	$62.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $65.68 / $83.93	Professional		$47.44	$65.68	$83.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $106.67 / $149.80	Professional		$80.83	$106.67	$149.80
United Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $89.21 / $150.68	Professional		$66.34	$89.21	$150.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $91.10 / $107.90	Professional		$91.10	$91.10	$107.90