Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.05 / $689.44 / $789.89	Facility		$641.05	$689.44	$789.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.05 / $771.94 / $1,117.58	Professional		$641.05	$771.94	$1,117.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $843.35	Professional		$716.85	$716.85	$843.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $677.05 / $1,128.41 / $1,501.54	Professional		$677.05	$1,128.41	$1,501.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,201.23 / $1,201.23 / $1,201.23	Professional		$1,201.23	$1,201.23	$1,201.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,799.54 / $1,799.54 / $1,799.54	Facility		$1,799.54	$1,799.54	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $673.33 / $749.10 / $1,014.50	Professional		$673.33	$749.10	$1,014.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,092.50 / $1,092.50 / $1,501.54	Professional		$1,092.50	$1,092.50	$1,501.54