Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $4,594.00 / $12,444.00	Facility		$1,163.00	$4,594.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.05 / $1,395.28 / $1,408.71	Professional		$991.05	$1,395.28	$1,408.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $618.76 / $1,327.54 / $1,467.75	Professional		$618.76	$1,327.54	$1,467.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,923.00 / $18,694.00	Facility		$4,462.00	$12,923.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.66 / $1,515.64 / $2,492.56	Professional		$1,062.66	$1,515.64	$2,492.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,576.09 / $1,576.09 / $1,576.09	Professional		$1,576.09	$1,576.09	$1,576.09