Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $78.92 / $172.84	Facility		$55.52	$78.92	$172.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $86.81	Professional		$78.92	$78.92	$86.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $74.45 / $78.92	Facility		$58.71	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $101.02	Professional		$78.92	$83.66	$101.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $78.92	Professional		$51.41	$51.41	$78.92