Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.88 / $4,594.00 / $11,550.00	Facility		$694.88	$4,594.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.72 / $694.88 / $970.47	Professional		$599.72	$694.88	$970.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,198.01 / $1,426.20	Facility		$494.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.91 / $815.17 / $1,300.00	Professional		$624.91	$815.17	$1,300.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $400.57 / $623.91 / $953.37	Professional		$400.57	$623.91	$953.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $596.82 / $964.68	Professional		$69.66	$596.82	$964.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.97 / $709.59 / $1,265.01	Professional		$553.97	$709.59	$1,265.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $618.91 / $618.91 / $618.91	Professional		$618.91	$618.91	$618.91