Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $717.78	Facility		$663.63	$663.63	$717.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $729.99	Professional		$663.63	$663.63	$729.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $663.63 / $663.63	Facility		$626.05	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $904.02	Professional		$663.63	$663.63	$904.02
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 $663.63 / $663.63 / $670.27	Professional		$663.63	$663.63	$670.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $717.78 / $717.78	Professional		$663.63	$717.78	$717.78