Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $318.06 / $430.12	Facility		$188.76	$318.06	$430.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.76 / $209.71	Professional		$188.65	$188.76	$209.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $188.76 / $188.76	Facility		$178.08	$188.76	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Professional		$188.76	$188.76	$188.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $188.76 / $188.76	Professional		$94.38	$188.76	$188.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $76.21 / $271.36	Professional		$47.63	$76.21	$271.36
United Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $200.09 / $210.01	Professional		$188.76	$200.09	$210.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $188.76	Professional		$188.65	$188.65	$188.76