Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $4,022.00 / $11,576.00	Facility		$769.00	$4,022.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,714.00 / $18,676.25 / $18,676.25	Professional		$3,714.00	$18,676.25	$18,676.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $2,403.00 / $4,243.00	Facility		$1,482.00	$2,403.00	$4,243.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $317.75 / $476.97	Professional		$40.00	$317.75	$476.97
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.87 / $288.87 / $288.87	Professional		$288.87	$288.87	$288.87