Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.15 / $232.15 / $266.97	Facility		$232.15	$232.15	$266.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.15 / $246.35 / $429.27	Professional		$232.15	$246.35	$429.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $567.73 / $803.71	Facility		$216.49	$567.73	$803.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $81.14 / $130.02	Professional		$41.65	$81.14	$130.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $111.20 / $178.23	Facility		$51.04	$111.20	$178.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $365.01 / $415.99	Professional		$53.66	$365.01	$415.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $44.89 / $61.73	Professional		$11.21	$44.89	$61.73
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $292.01 / $599.04	Professional		$59.50	$292.01	$599.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $53.96 / $53.96	Professional		$53.96	$53.96	$53.96