Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.63 / $413.63 / $514.91	Facility		$413.63	$413.63	$514.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.63 / $441.45 / $644.10	Professional		$413.63	$441.45	$644.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.89 / $380.03 / $1,126.58	Facility		$281.89	$380.03	$1,126.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $594.38 / $948.17	Professional		$348.96	$594.38	$948.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $427.64 / $654.33	Facility		$218.79	$427.64	$654.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $409.59 / $698.69	Professional		$210.99	$409.59	$698.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $490.78 / $811.40	Professional		$88.49	$490.78	$811.40
United Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $464.53 / $464.53	Facility		$464.53	$464.53	$464.53
United Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $480.02 / $985.85	Professional		$304.79	$480.02	$985.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.63 / $286.63 / $286.63	Professional		$286.63	$286.63	$286.63