Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.79 / $4,790.00 / $11,576.00	Facility		$629.79	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.41 / $694.06 / $904.20	Professional		$600.41	$694.06	$904.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.44 / $881.63 / $1,414.45	Professional		$561.44	$881.63	$1,414.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $337.51 / $518.98 / $753.49	Professional		$337.51	$518.98	$753.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $499.93 / $872.42	Professional		$71.54	$499.93	$872.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $720.61 / $1,290.64	Professional		$511.40	$720.61	$1,290.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.54 / $520.54 / $664.98	Professional		$520.54	$520.54	$664.98