Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $766.09 / $2,196.73	Facility		$738.40	$766.09	$2,196.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $766.09 / $784.55	Professional		$738.40	$766.09	$784.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.43 / $784.55 / $784.55	Facility		$728.43	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $849.16 / $849.16 / $849.16	Facility		$849.16	$849.16	$849.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $620.50 / $849.16 / $849.16	Professional		$620.50	$849.16	$849.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,520.00 / $1,520.00 / $1,520.00	Professional		$1,520.00	$1,520.00	$1,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $807.63	Professional		$769.17	$769.17	$807.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.11 / $900.11 / $900.11	Professional		$900.11	$900.11	$900.11