Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $365.42 / $494.17	Facility		$216.90	$365.42	$494.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.90 / $238.59	Professional		$216.74	$216.90	$238.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $216.90 / $216.90	Professional		$108.45	$216.90	$216.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $247.67 / $360.24	Professional		$50.00	$247.67	$360.24
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.91 / $241.46	Professional		$216.90	$229.91	$241.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.74 / $216.90	Professional		$216.74	$216.74	$216.90