Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $346.10 / $616.49	Facility		$204.61	$346.10	$616.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $245.53	Professional		$204.61	$204.61	$245.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $215.84	Facility		$193.03	$204.61	$215.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $204.61 / $204.61	Facility		$143.22	$204.61	$204.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $208.47 / $208.47	Professional		$204.61	$208.47	$208.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.34 / $205.24 / $207.90	Professional		$152.34	$205.24	$207.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $204.61	Professional		$81.84	$204.61	$204.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $205.28 / $205.28	Professional		$204.61	$205.28	$205.28