Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,920.00 / $2,400.00 / $13,856.00	Facility		$1,920.00	$2,400.00	$13,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.00 / $2,240.00 / $2,880.00	Professional		$1,744.00	$2,240.00	$2,880.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,607.14 / $2,289.35 / $12,031.92	Facility		$1,607.14	$2,289.35	$12,031.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $3,897.99 / $4,670.24	Professional		$3,897.99	$3,897.99	$4,670.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $1,920.00 / $2,720.00	Professional		$1,920.00	$1,920.00	$2,720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,800.00	Facility		$3,200.00	$3,200.00	$4,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,344.00 / $5,013.95	Professional		$1,120.00	$1,344.00	$5,013.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $1,920.00 / $1,920.00	Professional		$1,920.00	$1,920.00	$1,920.00