Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $6,086.00 / $12,916.00	Facility		$1,163.00	$6,086.00	$12,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $7,683.00 / $14,333.00	Professional		$769.00	$7,683.00	$14,333.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
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 $181.18 / $243.21 / $321.26	Professional		$181.18	$243.21	$321.26
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 $194.57 / $194.57 / $194.57	Professional		$194.57	$194.57	$194.57