Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,279.00 / $11,550.00	Facility		$377.00	$3,279.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $257.33 / $298.57	Professional		$160.71	$257.33	$298.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $11,776.76 / $14,019.95	Facility		$323.00	$11,776.76	$14,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $187.03 / $187.03	Professional		$187.03	$187.03	$187.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,187.12 / $4,829.14 / $10,380.00	Facility		$4,187.12	$4,829.14	$10,380.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $238.39 / $279.22	Professional		$111.69	$238.39	$279.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $373.50 / $448.70	Professional		$50.00	$373.50	$448.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,949.00 / $20,609.00	Facility		$4,462.00	$12,949.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $274.01 / $483.08	Professional		$190.07	$274.01	$483.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $246.80 / $246.80	Professional		$246.80	$246.80	$246.80