Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $933.25	Facility		$758.58	$812.83	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,548.82	Professional		$660.69	$812.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,348.96	Facility		$891.25	$891.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $891.25	Facility		$616.60	$616.60	$891.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,819.70	Professional		$398.11	$1,096.48	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $851.14	Professional		$436.52	$676.08	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $1,412.54	Facility		$524.81	$724.44	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,023.29	Professional		$616.60	$851.14	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,819.70	Professional		$676.08	$676.08	$1,819.70