Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $430.08 / $581.61	Facility		$256.08	$430.08	$581.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $256.08 / $281.70	Professional		$255.09	$256.08	$281.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $256.08 / $260.83	Facility		$241.59	$256.08	$260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Facility		$256.08	$256.08	$256.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $260.92 / $260.92	Professional		$130.46	$260.92	$260.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $290.73 / $422.88	Professional		$264.30	$290.73	$422.88
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $285.08	Professional		$256.08	$271.45	$285.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $255.09 / $256.08	Professional		$255.09	$255.09	$256.08