Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $809.90 / $870.34	Facility		$563.79	$809.90	$870.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $809.90 / $1,091.09	Professional		$563.79	$809.90	$1,091.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $102.81	Professional		$84.85	$84.85	$102.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $921.42 / $921.42 / $921.42	Facility		$921.42	$921.42	$921.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $751.70 / $1,162.80 / $1,396.80	Professional		$751.70	$1,162.80	$1,396.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $81.01 / $89.11	Professional		$52.65	$81.01	$89.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $74.86 / $692.10	Professional		$64.43	$74.86	$692.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $81.01 / $81.01	Professional		$81.01	$81.01	$81.01