Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,202.26	Facility		$1,148.15	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,230.27	Professional		$1,148.15	$1,202.26	$1,230.27
Cigna 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
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 $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Florida Blue 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
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $707.95	Professional		$39.81	$50.12	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $1,202.26 / $1,445.44	Facility		$12.02	$1,202.26	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05