Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $166.95 / $234.90	Professional		$149.91	$166.95	$234.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.70	Facility		$204.05	$204.05	$273.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.44 / $244.85	Professional		$173.44	$173.44	$244.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $240.72 / $240.72 / $240.72	Facility		$240.72	$240.72	$240.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $240.72 / $354.00 / $419.17	Professional		$240.72	$354.00	$419.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $273.48 / $303.87	Professional		$182.32	$273.48	$303.87
United Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $138.94 / $219.99	Facility		$17.37	$138.94	$219.99
United Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $190.68 / $277.52	Professional		$155.34	$190.68	$277.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $303.87 / $303.87	Professional		$303.87	$303.87	$303.87