Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.58 / $478.29 / $547.97	Facility		$431.58	$478.29	$547.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.72 / $547.97 / $912.12	Professional		$444.72	$547.97	$912.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $740.83	Professional		$540.80	$540.80	$740.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $360.92 / $639.69 / $639.69	Facility		$360.92	$639.69	$639.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $496.48 / $644.50 / $1,041.67	Professional		$496.48	$644.50	$1,041.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $255.00 / $280.50	Professional		$165.75	$255.00	$280.50
United Facility/Professional Professional Modifier Low / Median / High Price $440.44 / $519.67 / $745.54	Professional		$440.44	$519.67	$745.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $624.05	Professional		$255.00	$255.00	$624.05