Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,548.82	Facility		$1,258.93	$1,348.96	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,187.76	Professional		$1,258.93	$1,548.82	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Professional		$1,995.26	$1,995.26	$2,398.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,019.95	Professional		$660.69	$1,778.28	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,238.72 / $2,398.83	Professional		$933.25	$2,238.72	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,778.28 / $2,041.74	Facility		$707.95	$1,778.28	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,995.26	Professional		$1,258.93	$1,479.11	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,019.95	Professional		$1,621.81	$1,621.81	$3,019.95