Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $134.49 / $154.08	Facility		$121.35	$134.49	$154.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $154.08 / $256.48	Professional		$121.35	$154.08	$256.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $187.32	Professional		$132.76	$132.76	$187.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $179.85 / $179.85	Facility		$179.85	$179.85	$179.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $195.70 / $292.89	Professional		$156.56	$195.70	$292.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.49 / $209.99 / $230.98	Professional		$136.49	$209.99	$230.98
United Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $143.90 / $189.98	Facility		$98.33	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $145.19 / $208.31	Professional		$125.78	$145.19	$208.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $209.99 / $209.99	Professional		$209.99	$209.99	$209.99