Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $457.09	Professional		$269.15	$338.84	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $933.25	Facility		$562.34	$562.34	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $691.83	Professional		$295.12	$407.38	$691.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $436.52	Professional		$144.54	$302.00	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $467.74	Professional		$32.36	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $524.81	Professional		$239.88	$323.59	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Professional		$263.03	$263.03	$371.54