Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,778.28	Facility		$691.83	$1,148.15	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $794.33	Professional		$691.83	$691.83	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $794.33	Facility		$645.65	$691.83	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $691.83	Professional		$346.74	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.59 / $12.59	Professional		$6.92	$7.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $1,148.15	Facility		$645.65	$691.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $758.58	Professional		$645.65	$724.44	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83