Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $123.48 / $141.47	Facility		$111.43	$123.48	$141.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $123.48 / $235.49	Professional		$82.70	$123.48	$235.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $136.19	Professional		$99.43	$99.43	$136.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $165.16 / $165.16	Facility		$93.24	$165.16	$165.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $166.50 / $268.93	Professional		$128.18	$166.50	$268.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $119.69 / $131.65	Professional		$77.79	$119.69	$131.65
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $127.67 / $144.36	Professional		$90.95	$127.67	$144.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $119.69 / $120.84	Professional		$119.69	$119.69	$120.84