Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $690.45 / $933.71	Facility		$422.89	$690.45	$933.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $465.18	Professional		$409.52	$422.89	$465.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $422.89 / $499.84	Facility		$398.96	$422.89	$499.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Professional		$422.89	$422.89	$422.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $422.89	Facility		$422.89	$422.89	$422.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $446.83 / $446.83	Professional		$223.42	$446.83	$446.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $609.41 / $732.13	Professional		$40.00	$609.41	$732.13
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $470.77	Professional		$422.89	$448.26	$470.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $409.52 / $422.89	Professional		$409.52	$409.52	$422.89