Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $268.31 / $307.41	Facility		$249.48	$268.31	$307.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $307.41 / $434.93	Professional		$249.48	$307.41	$434.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $483.85	Professional		$353.21	$353.21	$483.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $202.44 / $389.00 / $389.00	Facility		$202.44	$389.00	$389.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $278.51 / $389.00 / $584.35	Professional		$278.51	$389.00	$584.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $94.71 / $104.18	Professional		$61.56	$94.71	$104.18
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $291.52 / $439.24	Professional		$250.94	$291.52	$439.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $353.67	Professional		$94.71	$94.71	$353.67