Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.39 / $4,696.00 / $11,550.00	Facility		$788.39	$4,696.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.47 / $836.29 / $1,183.18	Professional		$755.47	$836.29	$1,183.18
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 $780.62 / $1,002.61 / $1,591.71	Professional		$780.62	$1,002.61	$1,591.71
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 $504.57 / $771.69 / $1,177.64	Professional		$504.57	$771.69	$1,177.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $750.51 / $1,148.70	Professional		$69.89	$750.51	$1,148.70
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 $691.09 / $903.63 / $1,697.46	Professional		$691.09	$903.63	$1,697.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.40 / $762.40 / $762.40	Professional		$762.40	$762.40	$762.40