Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $263.03 / $302.00	Facility		$239.88	$263.03	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $501.19	Professional		$234.42	$302.00	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $478.63	Professional		$346.74	$346.74	$478.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Facility		$194.98	$194.98	$281.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $575.44	Professional		$128.82	$346.74	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $234.42	Professional		$123.03	$186.21	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $281.84 / $467.74	Facility		$218.78	$281.84	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $407.38	Professional		$223.87	$281.84	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $575.44	Professional		$186.21	$186.21	$575.44