Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $813.21	Facility		$735.05	$735.05	$813.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $813.21	Professional		$735.05	$735.05	$813.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $735.05 / $735.05	Facility		$693.44	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $735.04 / $735.04 / $735.04	Facility		$735.04	$735.04	$735.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $367.53 / $735.05 / $735.05	Professional		$367.53	$735.05	$735.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,393.18 / $1,673.69 / $5,002.35	Professional		$1,393.18	$1,673.69	$5,002.35
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $813.21 / $813.21	Professional		$735.05	$813.21	$813.21