Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $4,983.00 / $11,576.00	Facility		$1,115.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $3,279.00 / $11,102.00	Professional		$621.00	$3,279.00	$11,102.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,390.46 / $1,720.69 / $3,006.86	Facility		$1,390.46	$1,720.69	$3,006.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $997.03 / $997.03 / $997.03	Professional		$997.03	$997.03	$997.03