Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.88 / $764.36 / $1,658.18	Facility		$433.88	$764.36	$1,658.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $658.93 / $674.81	Professional		$635.11	$658.93	$674.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $518.66 / $518.66 / $518.66	Facility		$518.66	$518.66	$518.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $518.66 / $518.66 / $1,249.81	Professional		$518.66	$518.66	$1,249.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $694.65	Professional		$661.57	$661.57	$694.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.78 / $549.78 / $549.78	Professional		$549.78	$549.78	$549.78