Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $587.77 / $794.85	Facility		$356.93	$587.77	$794.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $356.93 / $392.62	Professional		$348.62	$356.93	$392.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $356.93 / $356.93	Facility		$336.73	$356.93	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Facility		$356.93	$356.93	$356.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $356.93 / $356.93	Professional		$178.47	$356.93	$356.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.91 / $5.69	Professional		$3.56	$3.91	$5.69
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $378.35 / $397.34	Professional		$356.93	$378.35	$397.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $348.62 / $356.93	Professional		$348.62	$348.62	$356.93