Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $664.07 / $975.70	Facility		$392.09	$664.07	$975.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $435.61	Professional		$392.09	$392.09	$435.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $415.02	Facility		$369.90	$392.09	$415.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $392.09 / $392.09	Facility		$104.90	$392.09	$392.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $399.49 / $399.49	Professional		$392.09	$399.49	$399.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $394.41	Professional		$294.24	$294.24	$394.41
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $392.09	Professional		$156.84	$392.09	$392.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $393.87 / $393.87	Professional		$392.09	$393.87	$393.87