Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.89 / $5,839.00 / $11,624.00	Facility		$1,288.89	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.89 / $2,148.16 / $2,632.62	Professional		$1,288.89	$2,148.16	$2,632.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $7,438.00 / $12,373.00	Facility		$400.00	$7,438.00	$12,373.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.04 / $1,512.04 / $1,512.04	Professional		$1,512.04	$1,512.04	$1,512.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,161.63 / $1,574.37 / $2,069.40	Professional		$1,161.63	$1,574.37	$2,069.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $2,472.61 / $2,970.45	Professional		$50.00	$2,472.61	$2,970.45
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.96 / $2,422.98 / $4,135.28	Professional		$1,695.96	$2,422.98	$4,135.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,876.64 / $1,876.64 / $1,876.64	Professional		$1,876.64	$1,876.64	$1,876.64