Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $724.44 / $2,089.30	Facility		$691.83	$724.44	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $831.76	Professional		$691.83	$724.44	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $741.31	Professional		$131.83	$131.83	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $891.25 / $1,202.26	Facility		$85.11	$891.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $144.54	Professional		$85.11	$85.11	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $831.76	Professional		$660.69	$660.69	$831.76