Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.03 / $238.30 / $273.02	Facility		$215.03	$238.30	$273.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $273.02 / $454.45	Professional		$217.69	$273.02	$454.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $324.30	Professional		$236.74	$236.74	$324.30
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $179.76 / $99,999.99 / $99,999.99	Facility		$179.76	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $364.73 / $519.00	Professional		$234.02	$364.73	$519.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $187.35 / $206.08	Professional		$121.77	$187.35	$206.08
United Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $258.92 / $371.45	Professional		$222.87	$258.92	$371.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $187.35 / $310.93	Professional		$187.35	$187.35	$310.93