Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $371.54	Facility		$213.80	$213.80	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $478.63	Professional		$213.80	$281.84	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $977.24 / $1,380.38	Facility		$302.00	$977.24	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $562.34	Professional		$213.80	$302.00	$562.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.59 / $549.54	Facility		$100.00	$323.59	$549.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $457.09	Professional		$147.91	$213.80	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $162.18 / $251.19	Professional		$21.38	$162.18	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $1,071.52	Facility		$389.05	$467.74	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $537.03	Professional		$190.55	$281.84	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $281.84	Professional		$158.49	$223.87	$281.84