Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $218.70 / $250.56	Facility		$197.35	$218.70	$250.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $235.50 / $417.07	Professional		$194.94	$235.50	$417.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $317.27	Professional		$217.26	$217.26	$317.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $164.92 / $99,999.99 / $99,999.99	Facility		$164.92	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $334.73 / $476.30	Professional		$214.76	$334.73	$476.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $173.82 / $191.20	Professional		$112.98	$173.82	$191.20
United Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $237.62 / $340.90	Professional		$204.54	$237.62	$340.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $173.82 / $285.36	Professional		$173.82	$173.82	$285.36