Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $655.57 / $886.53	Facility		$392.63	$655.57	$886.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $431.89	Professional		$388.83	$392.63	$431.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $392.63	Facility		$370.40	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $392.63 / $392.63	Professional		$196.32	$392.63	$392.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.71 / $447.11 / $650.34	Professional		$392.71	$447.11	$650.34
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $437.08	Professional		$392.63	$416.19	$437.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $388.83 / $392.63	Professional		$388.83	$388.83	$392.63