Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.38 / $238.69 / $273.45	Facility		$215.38	$238.69	$273.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $273.45 / $455.19	Professional		$215.38	$273.45	$455.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $361.03	Professional		$276.70	$276.70	$361.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $180.04 / $319.24 / $319.24	Facility		$180.04	$319.24	$319.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $247.77 / $321.50 / $519.84	Professional		$247.77	$321.50	$519.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $124.90 / $137.38	Professional		$81.18	$124.90	$137.38
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $219.80 / $259.33 / $372.06	Professional		$219.80	$259.33	$372.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $311.44	Professional		$124.90	$124.90	$311.44