Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $171.36 / $341.43	Facility		$88.55	$171.36	$341.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $254.08 / $260.20	Professional		$244.90	$254.08	$260.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $40.52 / $281.63	Facility		$38.96	$40.52	$281.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $281.63 / $281.63	Professional		$31.39	$281.63	$281.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $504.12	Professional		$50.00	$50.00	$504.12
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $267.86	Professional		$255.10	$255.10	$267.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $298.52 / $298.52	Professional		$298.52	$298.52	$298.52