Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.86 / $546.34 / $950.40	Facility		$444.86	$546.34	$950.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.22 / $817.62 / $1,008.10	Professional		$493.22	$817.62	$1,008.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,445.22 / $2,000.19 / $2,857.41	Facility		$1,445.22	$2,000.19	$2,857.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $839.41 / $938.11 / $3,226.00	Professional		$839.41	$938.11	$3,226.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $83.78	Professional		$83.78	$83.78	$83.78
United Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $94.75 / $363.72	Professional		$59.10	$94.75	$363.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $806.67 / $806.67	Professional		$806.67	$806.67	$806.67