Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $171.72 / $261.01	Facility		$112.45	$171.72	$261.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $131.65	Professional		$112.45	$112.45	$131.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $112.45 / $126.71	Facility		$106.09	$112.45	$126.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $168.68	Professional		$112.45	$112.45	$168.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $114.48 / $114.48	Professional		$112.45	$114.48	$114.48