Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,237.28	Facility		$1,190.44	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,299.15	Professional		$1,237.28	$1,237.28	$1,299.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,237.28 / $1,237.28	Facility		$1,167.25	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $618.64 / $1,237.28 / $1,237.28	Professional		$618.64	$1,237.28	$1,237.28
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 $1,237.28 / $1,237.28 / $1,249.65	Professional		$1,237.28	$1,237.28	$1,249.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,237.28	Professional		$1,190.44	$1,237.28	$1,237.28