Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $3,279.00 / $12,444.00	Facility		$691.00	$3,279.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,505.98 / $6,561.75	Professional		$200.00	$1,505.98	$6,561.75
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 $1,694.00 / $1,694.00 / $1,694.00	Professional		$1,694.00	$1,694.00	$1,694.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $2,403.00 / $4,241.00	Facility		$1,485.00	$2,403.00	$4,241.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.19 / $1,064.26 / $1,548.01	Professional		$831.19	$1,064.26	$1,548.01
United Facility/Professional Facility Modifier Low / Median / High Price $290.54 / $1,911.00 / $5,107.00	Facility		$290.54	$1,911.00	$5,107.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.19 / $831.19 / $831.19	Professional		$831.19	$831.19	$831.19