Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $102.07 / $116.94	Facility		$94.91	$102.07	$116.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $116.94 / $165.45	Professional		$95.20	$116.94	$165.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $99,999.99 / $99,999.99	Facility		$77.00	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $156.19 / $222.30	Professional		$100.24	$156.19	$222.30
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 $95.46 / $110.90 / $167.10	Professional		$95.46	$110.90	$167.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $134.51	Professional		$57.24	$57.24	$134.51