Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $164.33 / $188.27	Facility		$152.80	$164.33	$188.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $188.27 / $266.38	Professional		$152.80	$188.27	$266.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $297.81	Professional		$217.40	$217.40	$297.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $99,999.99 / $99,999.99	Facility		$124.04	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $251.52 / $357.90	Professional		$161.38	$251.52	$357.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $99.92 / $109.91	Professional		$64.94	$99.92	$109.91
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $178.55 / $268.95	Professional		$153.69	$178.55	$268.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $99.92 / $216.57	Professional		$99.92	$99.92	$216.57