Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Professional		$144.54	$144.54	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $144.54	Facility		$138.04	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $181.97	Professional		$85.11	$109.65	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $239.88	Facility		$134.90	$165.96	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $181.97	Professional		$125.89	$134.90	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $134.90	Professional		$117.49	$117.49	$134.90