Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,038.50	Facility		$1,902.62	$1,902.62	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,038.50	Professional		$1,902.62	$1,902.62	$2,038.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,902.62 / $1,902.62	Facility		$1,794.93	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $951.31 / $1,902.62 / $1,902.62	Professional		$951.31	$1,902.62	$1,902.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $4,206.35	Professional		$40.00	$50.00	$4,206.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Professional		$1,902.62	$1,902.62	$1,921.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,038.50 / $2,038.50	Professional		$1,902.62	$2,038.50	$2,038.50