Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $851.14	Facility		$691.83	$741.31	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,202.26	Professional		$691.83	$851.14	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Facility		$933.25	$933.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $933.25	Professional		$794.33	$794.33	$933.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,659.59	Professional		$676.08	$1,000.00	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,230.27 / $1,318.26	Professional		$524.81	$1,230.27	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,148.15	Facility		$389.05	$977.24	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,122.02	Professional		$691.83	$812.83	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,659.59	Professional		$912.01	$912.01	$1,659.59