Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.38 / $789.86 / $1,067.20	Professional		$607.38	$789.86	$1,067.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,061.01	Facility		$642.26	$642.26	$1,061.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $661.53	Professional		$545.91	$642.26	$661.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,006.15 / $1,006.15 / $1,006.15	Facility		$1,006.15	$1,006.15	$1,006.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,006.15 / $1,342.27 / $1,553.36	Professional		$1,006.15	$1,342.27	$1,553.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $586.68 / $853.36 / $1,066.70	Professional		$586.68	$853.36	$1,066.70
United Facility/Professional Professional Modifier Low / Median / High Price $587.44 / $772.80 / $1,140.93	Professional		$587.44	$772.80	$1,140.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,189.97 / $1,189.97 / $1,189.97	Professional		$1,189.97	$1,189.97	$1,189.97