Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,156.44 / $1,563.87	Facility		$686.00	$1,156.44	$1,563.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $686.00 / $754.60	Professional		$685.91	$686.00	$754.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $686.00 / $686.00	Facility		$647.16	$686.00	$686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Professional		$686.00	$686.00	$686.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $686.00 / $686.00	Professional		$343.00	$686.00	$686.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.53 / $10.95	Professional		$6.84	$7.53	$10.95
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $686.00 / $686.00	Facility		$686.00	$686.00	$686.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $727.16 / $761.46	Professional		$686.00	$727.16	$761.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $685.91 / $685.91 / $686.00	Professional		$685.91	$685.91	$686.00