Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $633.52 / $904.49	Facility		$384.85	$633.52	$904.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $384.85 / $423.33	Professional		$381.64	$384.85	$423.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $395.40	Facility		$363.06	$384.85	$395.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Facility		$384.85	$384.85	$384.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $428.42	Professional		$384.85	$407.94	$428.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $381.64 / $384.85	Professional		$381.64	$381.64	$384.85