Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $1,090.07	Facility		$656.12	$656.12	$1,090.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $820.16	Professional		$656.12	$656.12	$820.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.98 / $656.12 / $656.12	Facility		$618.98	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $702.05	Professional		$656.12	$656.12	$702.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $662.68	Professional		$656.12	$656.12	$662.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $1,090.07 / $1,090.07	Professional		$656.12	$1,090.07	$1,090.07