Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $404.20 / $477.35	Professional		$290.38	$404.20	$477.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $131.84	Professional		$108.80	$128.00	$131.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $256.43 / $256.43 / $547.37	Facility		$256.43	$256.43	$547.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $565.00 / $648.61	Professional		$256.43	$565.00	$648.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.53 / $546.04 / $682.55	Professional		$409.53	$546.04	$682.55
United Facility/Professional Professional Modifier Low / Median / High Price $335.27 / $382.48 / $586.95	Professional		$335.27	$382.48	$586.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $416.50 / $416.50	Professional		$416.50	$416.50	$416.50