Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $4,897.79	Facility		$1,659.59	$1,698.24	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,737.80	Professional		$1,659.59	$1,698.24	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,623.41	Facility		$1,737.80	$1,737.80	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $1,698.24	Facility		$162.18	$169.82	$1,698.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $1,698.24	Professional		$870.96	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $3,090.30 / $3,388.44	Professional		$50.12	$3,090.30	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,318.26	Facility		$794.33	$794.33	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,778.28	Professional		$1,698.24	$1,698.24	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,778.28	Professional		$1,698.24	$1,778.28	$1,778.28