Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $157.43 / $239.29	Facility		$104.73	$157.43	$239.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $115.20	Professional		$104.73	$104.73	$115.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $105.77	Facility		$98.80	$104.73	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $110.66 / $110.66	Professional		$104.73	$110.66	$110.66
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $124.61	Professional		$104.73	$104.73	$124.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.95	Professional		$104.73	$104.73	$104.95