Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $4,003.00 / $10,843.00	Facility		$714.00	$4,003.00	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.88 / $932.07 / $1,356.97	Professional		$873.88	$932.07	$1,356.97
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 $832.32 / $1,136.16 / $1,709.05	Professional		$832.32	$1,136.16	$1,709.05
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 $583.05 / $814.05 / $1,226.64	Professional		$583.05	$814.05	$1,226.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $803.88 / $1,262.96	Professional		$107.70	$803.88	$1,262.96
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 $762.72 / $1,013.33 / $1,849.13	Professional		$762.72	$1,013.33	$1,849.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $792.27 / $792.27 / $792.27	Professional		$792.27	$792.27	$792.27