Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $418.97 / $566.58	Facility		$248.50	$418.97	$566.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $248.50 / $255.49	Facility		$234.43	$248.50	$255.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Facility		$248.50	$248.50	$248.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.25 / $248.50 / $248.50	Professional		$124.25	$248.50	$248.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $228.12 / $380.20	Professional		$11.25	$228.12	$380.20
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $275.80	Professional		$248.50	$263.41	$275.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50