Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $378.57 / $433.71	Facility		$352.00	$378.57	$433.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.09 / $431.07 / $613.65	Professional		$353.09	$431.07	$613.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $649.92	Facility		$649.92	$649.92	$649.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $474.45 / $649.92	Professional		$474.45	$474.45	$649.92
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $548.83 / $548.83	Facility		$285.60	$548.83	$548.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $548.83 / $824.47	Professional		$392.96	$548.83	$824.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $427.77 / $470.54	Professional		$278.05	$427.77	$470.54
United Facility/Professional Professional Modifier Low / Median / High Price $354.05 / $411.32 / $607.90	Professional		$354.05	$411.32	$607.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.77 / $427.77 / $489.36	Professional		$427.77	$427.77	$489.36