Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $4,304.00 / $11,576.00	Facility		$778.00	$4,304.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $1,645.00 / $4,573.00	Professional		$395.25	$1,645.00	$4,573.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $457.32 / $2,530.00	Facility		$400.00	$457.32	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $412.76 / $1,102.00	Professional		$412.76	$412.76	$1,102.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,328.00 / $2,344.00 / $4,180.00	Facility		$1,328.00	$2,344.00	$4,180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $306.44 / $430.81	Professional		$239.34	$306.44	$430.81
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $239.34 / $239.34	Professional		$239.34	$239.34	$239.34