Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,281.00 / $3,129.00	Facility		$735.00	$1,281.00	$3,129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $677.53 / $850.50	Professional		$625.41	$677.53	$850.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.59 / $824.02 / $3,948.64	Facility		$588.59	$824.02	$3,948.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $1,104.19 / $1,783.05	Professional		$525.50	$1,104.19	$1,783.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $798.89 / $1,312.50	Professional		$630.00	$798.89	$1,312.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,042.34 / $1,042.34 / $1,667.76	Professional		$1,042.34	$1,042.34	$1,667.76
United Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $945.00 / $1,575.00	Facility		$945.00	$945.00	$1,575.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $441.00 / $1,413.30	Professional		$367.50	$441.00	$1,413.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $543.90 / $630.00 / $630.00	Professional		$543.90	$630.00	$630.00