Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $4,696.00 / $11,550.00	Facility		$656.25	$4,696.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $656.25 / $743.75	Professional		$516.41	$656.25	$743.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,951.00 / $2,322.62	Facility		$494.00	$1,951.00	$2,322.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $598.82 / $3,023.25	Professional		$169.74	$598.82	$3,023.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $421.63 / $647.65	Professional		$280.43	$421.63	$647.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
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 $1,225.71 / $1,225.71 / $2,508.00	Professional		$1,225.71	$1,225.71	$2,508.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $214.24 / $214.24	Professional		$214.24	$214.24	$214.24