Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.72 / $552.69 / $633.22	Facility		$498.72	$552.69	$633.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.72 / $633.22 / $1,054.01	Professional		$498.72	$633.22	$1,054.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $752.15	Professional		$549.07	$549.07	$752.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $416.92 / $739.18 / $739.18	Facility		$416.92	$739.18	$739.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $573.71 / $744.50 / $1,203.71	Professional		$573.71	$744.50	$1,203.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.41 / $642.17 / $706.39	Professional		$417.41	$642.17	$706.39
United Facility/Professional Professional Modifier Low / Median / High Price $500.43 / $600.52 / $861.52	Professional		$500.43	$600.52	$861.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $642.17 / $642.17 / $721.14	Professional		$642.17	$642.17	$721.14