Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $416.87 / $416.87	Facility		$398.11	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $426.58	Professional		$398.11	$416.87	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $426.58	Professional		$85.11	$109.65	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $691.83	Professional		$39.81	$70.79	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $831.76	Facility		$501.19	$602.56	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $501.19 / $501.19	Professional		$125.89	$501.19	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $426.58 / $426.58	Professional		$134.90	$426.58	$426.58