Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $106.97 / $106.97	Facility		$64.75	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.25	Professional		$106.97	$106.97	$111.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $106.97 / $106.97	Professional		$53.49	$106.97	$106.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $67.79	Professional		$40.00	$40.00	$67.79
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $106.97	Professional		$64.75	$64.75	$106.97