Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.84 / $212.60 / $243.57	Facility		$191.84	$212.60	$243.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $223.82 / $405.43	Professional		$173.89	$223.82	$405.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $284.33 / $284.33	Facility		$173.25	$284.33	$284.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $309.38 / $463.01	Professional		$247.50	$309.38	$463.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $265.57 / $292.12	Professional		$172.62	$265.57	$292.12
United Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $208.12 / $249.78	Facility		$142.19	$208.12	$249.78
United Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $226.17 / $309.38	Professional		$189.60	$226.17	$309.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.57 / $265.57 / $265.57	Professional		$265.57	$265.57	$265.57