Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $101.72 / $101.72	Facility		$100.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $106.80	Professional		$101.72	$101.72	$106.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $101.72 / $101.72	Facility		$95.96	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $107.47 / $107.47	Professional		$53.74	$107.47	$107.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $127.60 / $191.40	Professional		$85.07	$127.60	$191.40
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $100.72 / $101.72	Professional		$100.72	$100.72	$101.72