Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.53 / $292.76 / $441.15	Facility		$187.53	$292.76	$441.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $238.46 / $286.14	Professional		$173.64	$238.46	$286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $238.46 / $319.14	Facility		$224.96	$238.46	$319.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $238.46 / $238.46	Facility		$146.63	$238.46	$238.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $251.95 / $251.95	Professional		$125.98	$251.95	$251.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $874.50 / $1,272.00	Professional		$795.00	$874.50	$1,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $265.45	Professional		$238.46	$252.77	$265.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $173.64 / $238.46	Professional		$173.64	$173.64	$238.46