Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,713.18	Facility		$1,393.12	$1,393.12	$1,713.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,713.18	Professional		$1,393.12	$1,393.12	$1,713.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,314.26 / $1,393.12 / $1,393.12	Facility		$1,314.26	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,170.35	Professional		$1,393.12	$1,393.12	$2,170.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,713.18 / $1,713.18	Professional		$1,393.12	$1,713.18	$1,713.18