Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $235.17	Facility		$204.96	$204.96	$235.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $235.17	Professional		$204.96	$204.96	$235.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $204.96 / $204.96	Facility		$193.35	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $216.56 / $216.56	Professional		$108.28	$216.56	$216.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $391.77 / $1,406.68	Professional		$40.00	$391.77	$1,406.68
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $207.01	Professional		$204.96	$204.96	$207.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $235.17 / $235.17	Professional		$204.96	$235.17	$235.17