Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $171.11 / $231.40	Facility		$102.94	$171.11	$231.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $113.23	Professional		$102.94	$102.94	$113.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $118.60	Facility		$97.11	$102.94	$118.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $168.96	Professional		$102.94	$102.94	$168.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $102.94	Professional		$101.49	$101.49	$102.94