Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $354.81 / $371.54	Professional		$117.49	$354.81	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $407.38	Professional		$85.11	$109.65	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $691.83	Professional		$199.53	$239.88	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $478.63 / $478.63	Facility		$4.79	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $478.63	Professional		$125.89	$478.63	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $354.81	Professional		$134.90	$354.81	$354.81