Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $3,401.00 / $10,802.00	Facility		$644.00	$3,401.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.94 / $725.52 / $984.11	Professional		$620.94	$725.52	$984.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,951.00 / $2,322.62	Facility		$323.00	$1,951.00	$2,322.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.95 / $856.15 / $1,334.49	Professional		$627.95	$856.15	$1,334.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,742.00 / $23,031.00	Facility		$5,855.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $676.54 / $1,019.43	Professional		$455.91	$676.54	$1,019.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $654.53 / $1,047.34	Professional		$70.98	$654.53	$1,047.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,989.00	Facility		$2,637.00	$8,267.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.01 / $812.34 / $1,453.26	Professional		$626.01	$812.34	$1,453.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $584.44 / $669.97 / $669.97	Professional		$584.44	$669.97	$669.97