Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,479.11	Professional		$630.96	$758.58	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,258.93	Facility		$831.76	$831.76	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $831.76	Facility		$575.44	$575.44	$831.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,023.29 / $1,698.24	Professional		$380.19	$1,023.29	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,096.48	Professional		$575.44	$870.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,348.96	Facility		$512.86	$707.95	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $977.24	Professional		$602.56	$794.33	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,698.24	Professional		$870.96	$870.96	$1,698.24