Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $247.41 / $604.44	Facility		$220.80	$247.41	$604.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $220.80 / $234.60	Professional		$48.24	$220.80	$234.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Facility		$57.66	$57.66	$57.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $58.50 / $58.50	Facility		$56.25	$58.50	$58.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $62.56 / $62.56	Professional		$57.66	$62.56	$62.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $292.56 / $306.32	Professional		$276.00	$292.56	$306.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66