Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $851.14 / $1,288.25	Facility		$389.05	$851.14	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $457.09	Professional		$389.05	$389.05	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $562.34	Facility		$371.54	$389.05	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $389.05	Professional		$194.98	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $691.83	Professional		$371.54	$446.68	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $660.69	Facility		$371.54	$389.05	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $436.52	Professional		$371.54	$416.87	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05