Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $851.14 / $977.24	Facility		$776.25	$851.14	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,621.81	Professional		$758.58	$954.99	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,380.38	Facility		$1,096.48	$1,096.48	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $977.24	Facility		$691.83	$691.83	$977.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,122.02 / $1,862.09	Professional		$416.87	$1,122.02	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,318.26	Professional		$691.83	$1,047.13	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,548.82	Facility		$676.08	$870.96	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,258.93	Professional		$724.44	$891.25	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,862.09	Professional		$1,047.13	$1,047.13	$1,862.09