Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $3,401.00 / $11,550.00	Facility		$602.00	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $1,203.00 / $11,550.00	Professional		$407.00	$1,203.00	$11,550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,611.00 / $1,611.00 / $1,611.00	Professional		$1,611.00	$1,611.00	$1,611.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $608.00	Professional		$608.00	$608.00	$608.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $365.32 / $531.37	Professional		$285.32	$365.32	$531.37
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $285.32 / $285.32	Professional		$285.32	$285.32	$285.32