Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $549.54	Facility		$524.81	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $2,290.87	Professional		$85.11	$109.65	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $2,951.21	Professional		$39.81	$70.79	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,011.87	Facility		$2,691.53	$3,388.44	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,818.38	Professional		$125.89	$2,691.53	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,096.48 / $1,096.48	Professional		$134.90	$1,096.48	$1,096.48