Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $89.24 / $102.24	Facility		$80.53	$89.24	$102.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $94.39 / $170.18	Professional		$78.13	$94.39	$170.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $119.29	Professional		$87.08	$87.08	$119.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $119.37 / $119.37	Facility		$67.20	$119.37	$119.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $120.00 / $194.36	Professional		$92.64	$120.00	$194.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $57.24 / $62.96	Professional		$37.20	$57.24	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $95.24 / $136.63	Professional		$83.46	$95.24	$136.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $114.38	Professional		$57.24	$57.24	$114.38