Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.31 / $262.75 / $301.04	Facility		$244.31	$262.75	$301.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $301.04 / $425.93	Professional		$244.31	$301.04	$425.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $380.95 / $380.95	Facility		$198.24	$380.95	$380.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $272.74 / $380.95 / $572.26	Professional		$272.74	$380.95	$572.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $182.14 / $200.35	Professional		$118.39	$182.14	$200.35
United Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $763.01 / $763.01	Facility		$763.01	$763.01	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $285.49 / $430.15	Professional		$245.75	$285.49	$430.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $346.27	Professional		$182.14	$182.14	$346.27