Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $263.03 / $302.00	Facility		$245.47	$263.03	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $426.58	Professional		$245.47	$323.59	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $281.84	Facility		$199.53	$199.53	$281.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $588.84	Professional		$128.82	$346.74	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $229.09	Professional		$117.49	$181.97	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $575.44	Facility		$257.04	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $426.58	Professional		$245.47	$288.40	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84