Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $483.65	Facility		$449.41	$449.41	$483.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $494.35	Professional		$449.41	$449.41	$494.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $449.41 / $449.41	Facility		$423.97	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $224.71 / $449.41 / $449.41	Professional		$224.71	$449.41	$449.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $719.25 / $864.07 / $2,582.55	Professional		$719.25	$864.07	$2,582.55
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $483.65 / $483.65	Professional		$449.41	$483.65	$483.65