Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Facility		$234.42	$234.42	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $446.68	Professional		$234.42	$309.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $588.84 / $831.76	Facility		$112.20	$588.84	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $138.04	Professional		$41.69	$81.28	$138.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $95.50 / $177.83	Facility		$28.84	$95.50	$177.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $389.05 / $426.58	Professional		$54.95	$389.05	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $38.90 / $61.66	Professional		$11.75	$38.90	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $831.76	Facility		$263.03	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $295.12 / $575.44	Professional		$58.88	$295.12	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $389.05	Professional		$38.90	$56.23	$389.05