Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $3,714.00 / $12,444.00	Facility		$778.00	$3,714.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $1,203.00 / $11,550.00	Professional		$412.00	$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 $2,794.00 / $2,794.00 / $2,794.00	Professional		$2,794.00	$2,794.00	$2,794.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $2,406.00 / $4,241.00	Facility		$1,482.00	$2,406.00	$4,241.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $538.14 / $689.02 / $1,002.22	Professional		$538.14	$689.02	$1,002.22
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 $538.14 / $538.14 / $538.14	Professional		$538.14	$538.14	$538.14