Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $6,614.00 / $13,124.00	Facility		$1,449.00	$6,614.00	$13,124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.54 / $2,648.00 / $10,086.00	Professional		$1,294.54	$2,648.00	$10,086.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $500.00 / $7,157.00	Facility		$400.00	$500.00	$7,157.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $892.83 / $1,143.17 / $1,607.09	Professional		$892.83	$1,143.17	$1,607.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,731.00 / $10,254.00 / $15,888.00	Facility		$2,731.00	$10,254.00	$15,888.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $892.83 / $892.83 / $892.83	Professional		$892.83	$892.83	$892.83