Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $915.68	Professional		$872.08	$872.08	$915.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $384.83 / $384.83	Professional		$192.42	$384.83	$384.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $109.26 / $154.99	Professional		$93.87	$109.26	$154.99
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87