Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $151.85 / $40,831.00	Facility		$82.08	$151.85	$40,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $82.08 / $90.28	Professional		$81.91	$82.08	$90.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $78.98 / $82.07	Facility		$76.53	$78.98	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Facility		$82.08	$82.08	$82.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $82.08 / $82.08	Professional		$41.04	$82.08	$82.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $29.37 / $50.00	Professional		$25.54	$29.37	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $87.00 / $91.36	Professional		$82.08	$87.00	$91.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $81.91 / $82.08	Professional		$81.91	$81.91	$82.08