Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.73 / $3,807.00 / $11,901.00	Facility		$489.73	$3,807.00	$11,901.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $540.26 / $754.21	Professional		$460.93	$540.26	$754.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $2,907.91 / $3,461.80	Facility		$695.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.10 / $686.41 / $1,120.67	Professional		$451.10	$686.41	$1,120.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $451.02 / $574.89	Professional		$246.17	$451.02	$574.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $423.02 / $720.68	Professional		$70.90	$423.02	$720.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $584.76 / $1,055.07	Professional		$411.74	$584.76	$1,055.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.84 / $411.84 / $515.83	Professional		$411.84	$411.84	$515.83