Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.41 / $959.76 / $1,702.59	Facility		$892.41	$959.76	$1,702.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.25 / $1,153.00 / $1,702.59	Professional		$909.25	$1,153.00	$1,702.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,650.90	Professional		$1,403.27	$1,403.27	$1,650.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,254.17 / $2,090.28 / $2,488.16	Professional		$1,254.17	$2,090.28	$2,488.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,672.22 / $1,672.22 / $1,672.22	Professional		$1,672.22	$1,672.22	$1,672.22
United Facility/Professional Facility Modifier Low / Median / High Price $772.32 / $1,224.69 / $1,235.70	Facility		$772.32	$1,224.69	$1,235.70
United Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,389.87 / $2,162.13	Professional		$926.78	$1,389.87	$2,162.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,090.28 / $2,546.78 / $2,546.78	Professional		$2,090.28	$2,546.78	$2,546.78