Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.38 / $282.18 / $323.29	Facility		$262.38	$282.18	$323.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.38 / $323.29 / $457.40	Professional		$262.38	$323.29	$457.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $409.11 / $409.11	Facility		$212.80	$409.11	$409.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $409.11 / $614.54	Professional		$292.89	$409.11	$614.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $213.37 / $234.70	Professional		$138.69	$213.37	$234.70
United Facility/Professional Facility Modifier Low / Median / High Price $819.40 / $819.40 / $819.40	Facility		$819.40	$819.40	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $263.91 / $306.58 / $461.84	Professional		$263.91	$306.58	$461.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $213.37 / $371.88	Professional		$213.37	$213.37	$371.88