Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $1,905.46	Facility		$794.33	$1,412.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $870.96	Professional		$741.31	$794.33	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $794.33 / $812.83	Facility		$741.31	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Professional		$794.33	$794.33	$812.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Professional		$794.33	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $794.33	Professional		$588.84	$630.96	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $302.00 / $1,348.96	Facility		$7.59	$302.00	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $794.33	Professional		$316.23	$794.33	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $831.76	Professional		$758.58	$794.33	$831.76