Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.01 / $708.75 / $812.01	Facility		$659.01	$708.75	$812.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.01 / $812.01 / $1,148.88	Professional		$659.01	$812.01	$1,148.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,027.56 / $1,027.56 / $1,027.56	Facility		$1,027.56	$1,027.56	$1,027.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $860.58 / $1,075.73 / $1,543.60	Professional		$860.58	$1,075.73	$1,543.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $667.41 / $1,026.79 / $1,129.46	Professional		$667.41	$1,026.79	$1,129.46
United Facility/Professional Professional Modifier Low / Median / High Price $662.87 / $770.08 / $1,160.27	Professional		$662.87	$770.08	$1,160.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,026.79 / $1,026.79 / $1,026.79	Professional		$1,026.79	$1,026.79	$1,026.79