Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $1,047.13	Facility		$354.81	$363.08	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $436.52	Professional		$354.81	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $724.44	Facility		$537.03	$537.03	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $407.38	Professional		$371.54	$389.05	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91