Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $139.69 / $188.92	Facility		$81.90	$139.69	$188.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $95.00	Professional		$81.90	$81.90	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $81.90 / $85.98	Facility		$77.26	$81.90	$85.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Facility		$81.90	$81.90	$81.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $81.90 / $81.90	Professional		$40.95	$81.90	$81.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $101.43 / $147.53	Professional		$89.34	$101.43	$147.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $91.17	Professional		$81.90	$86.81	$91.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.86 / $82.86	Professional		$81.90	$82.86	$82.86