Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $870.96	Facility		$295.12	$302.00	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $398.11	Professional		$144.54	$309.03	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Professional		$302.00	$302.00	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03