Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,445.44	Facility		$1,174.90	$1,288.25	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,089.30	Professional		$1,174.90	$1,412.54	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,778.28	Professional		$1,318.26	$1,318.26	$1,778.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,698.24 / $2,818.38	Professional		$630.96	$1,698.24	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Professional		$2,238.72	$2,238.72	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,754.23	Facility		$1,122.02	$1,862.09	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,862.09	Professional		$1,202.26	$1,380.38	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,818.38	Professional		$1,479.11	$1,479.11	$2,818.38