Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.10 / $230.26 / $263.81	Facility		$214.10	$230.26	$263.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $263.81 / $373.24	Professional		$214.10	$263.81	$373.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $344.22	Facility		$344.22	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $344.22	Professional		$251.28	$251.28	$344.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.60 / $99,999.99 / $99,999.99	Facility		$173.60	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $352.40 / $501.48	Professional		$226.12	$352.40	$501.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $218.57 / $240.42	Professional		$142.07	$218.57	$240.42
United Facility/Professional Professional Modifier Low / Median / High Price $215.35 / $250.18 / $376.95	Professional		$215.35	$250.18	$376.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $303.45	Professional		$218.57	$218.57	$303.45