Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $4,696.00 / $11,550.00	Facility		$769.00	$4,696.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $809.00 / $1,128.34	Professional		$719.50	$809.00	$1,128.34
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 $749.51 / $964.34 / $1,508.58	Professional		$749.51	$964.34	$1,508.58
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 $481.02 / $735.68 / $1,115.81	Professional		$481.02	$735.68	$1,115.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $716.87 / $1,090.49	Professional		$69.89	$716.87	$1,090.49
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 $663.65 / $853.26 / $1,492.97	Professional		$663.65	$853.26	$1,492.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.36 / $724.36 / $724.36	Professional		$724.36	$724.36	$724.36