Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.12 / $4,790.00 / $11,576.00	Facility		$1,383.12	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.12 / $1,623.91 / $2,154.85	Professional		$1,383.12	$1,623.91	$2,154.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $3,685.68 / $4,387.71	Facility		$323.00	$3,685.68	$4,387.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.86 / $2,117.35 / $3,318.98	Professional		$1,346.86	$2,117.35	$3,318.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $701.56 / $1,453.14 / $1,834.35	Professional		$701.56	$1,453.14	$1,834.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $1,194.66 / $2,090.81	Professional		$177.87	$1,194.66	$2,090.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.55 / $1,764.21 / $3,117.55	Professional		$1,245.55	$1,764.21	$3,117.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,200.91 / $1,200.91 / $1,604.29	Professional		$1,200.91	$1,200.91	$1,604.29