Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $3,714.00 / $11,576.00	Facility		$602.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $3,714.00 / $11,576.00	Professional		$412.00	$3,714.00	$11,576.00
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 $321.93 / $432.15 / $570.85	Professional		$321.93	$432.15	$570.85
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 $345.72 / $345.72 / $345.72	Professional		$345.72	$345.72	$345.72