Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $71.04	Facility		$70.70	$70.70	$71.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $77.77	Professional		$70.70	$70.70	$77.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $70.70 / $70.70	Facility		$66.69	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $155.47	Professional		$70.70	$70.70	$155.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.41	Professional		$70.70	$70.70	$71.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $71.04 / $71.04	Professional		$70.70	$71.04	$71.04