Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.36 / $433.80 / $497.01	Facility		$403.36	$433.80	$497.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.80 / $429.11 / $703.19	Professional		$367.80	$429.11	$703.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $511.94	Professional		$373.72	$373.72	$511.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $327.32 / $628.92 / $628.92	Facility		$327.32	$628.92	$628.92
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $628.92 / $944.77	Professional		$450.29	$628.92	$944.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $332.54 / $365.79	Professional		$216.15	$332.54	$365.79
United Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $471.34 / $532.62	Professional		$353.50	$471.34	$532.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.54 / $332.54 / $428.77	Professional		$332.54	$332.54	$428.77