Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.09 / $2,293.69 / $4,312.72	Facility		$863.09	$2,293.69	$4,312.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.09 / $1,015.03 / $1,390.44	Professional		$863.09	$1,015.03	$1,390.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $1,879.70 / $2,314.00	Facility		$1,161.33	$1,879.70	$2,314.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.43 / $1,385.40 / $2,479.82	Professional		$873.43	$1,385.40	$2,479.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $665.72 / $808.38 / $1,144.04	Professional		$665.72	$808.38	$1,144.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $911.97 / $1,488.19	Professional		$135.00	$911.97	$1,488.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,131.00 / $5,131.00 / $5,131.00	Facility		$5,131.00	$5,131.00	$5,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.61 / $1,126.16 / $1,951.23	Professional		$748.61	$1,126.16	$1,951.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.70 / $788.70 / $951.03	Professional		$788.70	$788.70	$951.03