Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.99 / $438.19 / $508.05	Facility		$352.99	$438.19	$508.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.16 / $456.45 / $615.67	Professional		$365.16	$456.45	$615.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $559.40 / $559.40	Facility		$559.40	$559.40	$559.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $577.92 / $577.92	Professional		$66.19	$577.92	$577.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $604.53 / $863.62	Facility		$436.80	$604.53	$863.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $646.87 / $924.10 / $1,040.00	Professional		$646.87	$924.10	$1,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $100.74 / $915.91	Professional		$64.11	$100.74	$915.91
United Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $475.88 / $795.07	Professional		$389.81	$475.88	$795.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $915.91 / $915.91 / $915.91	Professional		$915.91	$915.91	$915.91