Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Facility		$973.77	$973.77	$1,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $1,532.65 / $2,264.25	Professional		$175.99	$1,532.65	$2,264.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $1,387.55 / $1,518.48	Professional		$13.48	$1,387.55	$1,518.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.16 / $1,345.16 / $1,345.16	Professional		$1,345.16	$1,345.16	$1,345.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $1,340.65	Professional		$20.39	$20.39	$1,340.65