Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $398.94 / $539.49	Facility		$236.62	$398.94	$539.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $269.75	Professional		$236.62	$236.62	$269.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $236.62 / $244.78	Facility		$223.22	$236.62	$244.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Facility		$236.62	$236.62	$236.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $250.01 / $250.01	Professional		$125.01	$250.01	$250.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $216.14 / $360.24	Professional		$28.72	$216.14	$360.24
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.82 / $263.41	Professional		$236.62	$250.82	$263.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62