Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $366.01 / $494.97	Facility		$217.09	$366.01	$494.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $217.09 / $217.09	Facility		$204.80	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $217.09 / $217.09	Professional		$108.55	$217.09	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $319.99 / $384.42	Professional		$40.00	$319.99	$384.42
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.12 / $241.67	Professional		$217.09	$230.12	$241.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09