Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $6,024.00 / $11,655.00	Facility		$1,115.00	$6,024.00	$11,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $1,211.00 / $11,655.00	Professional		$769.00	$1,211.00	$11,655.00
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 $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $436.57 / $690.97	Professional		$300.05	$436.57	$690.97
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Professional		$340.97	$340.97	$340.97