Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.52 / $872.74 / $999.89	Facility		$787.52	$872.74	$999.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.55 / $872.74 / $1,664.36	Professional		$725.55	$872.74	$1,664.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $1,030.36	Professional		$752.17	$752.17	$1,030.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,167.23 / $1,167.23 / $1,167.23	Facility		$1,167.23	$1,167.23	$1,167.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,016.02 / $1,270.02 / $1,900.75	Professional		$1,016.02	$1,270.02	$1,900.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,520.60 / $1,520.60 / $1,520.60	Professional		$1,520.60	$1,520.60	$1,520.60
United Facility/Professional Professional Modifier Low / Median / High Price $723.14 / $928.47 / $1,142.56	Professional		$723.14	$928.47	$1,142.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $970.78 / $970.78 / $1,900.75	Professional		$970.78	$970.78	$1,900.75