Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $6,038.00 / $12,173.00	Facility		$1,449.00	$6,038.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.00 / $3,478.00 / $11,576.00	Professional		$644.00	$3,478.00	$11,576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $7,157.00	Facility		$400.00	$400.00	$7,157.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,139.00 / $12,804.00 / $23,031.00	Facility		$6,139.00	$12,804.00	$23,031.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $855.51 / $1,095.39 / $1,412.63	Professional		$855.51	$1,095.39	$1,412.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $855.51 / $855.51 / $855.51	Professional		$855.51	$855.51	$855.51