Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $96.41 / $110.46	Facility		$87.00	$96.41	$110.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $108.75 / $183.86	Professional		$85.94	$108.75	$183.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $99,999.99 / $99,999.99	Facility		$72.80	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $147.57 / $209.97	Professional		$94.68	$147.57	$209.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $93.67 / $103.03	Professional		$60.88	$93.67	$103.03
United Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $104.75 / $150.28	Professional		$88.78	$104.75	$150.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $125.80	Professional		$93.67	$93.67	$125.80