Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $261.64 / $352.78	Facility		$261.64	$261.64	$352.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $281.33 / $520.65	Professional		$261.64	$281.33	$520.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $542.79 / $1,058.31	Facility		$213.54	$542.79	$1,058.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $451.07 / $702.43	Professional		$300.72	$451.07	$702.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.50 / $354.77 / $542.83	Facility		$181.50	$354.77	$542.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $300.67 / $478.70	Professional		$280.62	$300.67	$478.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $268.39 / $528.02	Professional		$168.71	$268.39	$528.02
United Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $371.58 / $671.98	Professional		$302.51	$371.58	$671.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.84 / $247.84 / $247.84	Professional		$247.84	$247.84	$247.84