Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $356.55	Facility		$349.02	$349.02	$356.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $383.92	Professional		$349.02	$349.02	$383.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $349.01 / $349.01	Facility		$329.26	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $349.02 / $349.02	Professional		$174.51	$349.02	$349.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $645.30 / $1,928.73	Professional		$40.00	$645.30	$1,928.73
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $356.55 / $356.55	Professional		$349.02	$356.55	$356.55