Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $730.43	Facility		$655.29	$655.29	$730.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $730.43	Professional		$655.29	$655.29	$730.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $655.29 / $655.29	Facility		$618.21	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,326.12	Professional		$655.29	$655.29	$1,326.12
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 $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $730.43 / $730.43	Professional		$655.29	$730.43	$730.43