Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,574.00 / $6,744.00	Facility		$950.00	$4,574.00	$6,744.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $1,500.00	Professional		$950.00	$950.00	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.36 / $1,045.78 / $4,643.74	Facility		$757.36	$1,045.78	$4,643.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.75 / $526.02 / $2,572.00	Professional		$440.75	$526.02	$2,572.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,722.25 / $1,940.98 / $3,013.93	Professional		$1,722.25	$1,940.98	$3,013.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $118.79 / $222.50	Professional		$74.68	$118.79	$222.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,052.21 / $2,348.36 / $4,449.28	Professional		$2,052.21	$2,348.36	$4,449.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,874.02 / $1,874.02 / $1,874.02	Professional		$1,874.02	$1,874.02	$1,874.02