Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,230.27	Facility		$1,174.90	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $1,412.54	Professional		$85.11	$109.65	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,905.46	Facility		$1,047.13	$1,288.25	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,047.13 / $1,412.54	Professional		$125.89	$1,047.13	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,148.15 / $1,148.15	Professional		$134.90	$1,148.15	$1,148.15