Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.32 / $3,836.00 / $12,173.00	Facility		$620.32	$3,836.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $685.43 / $920.26	Professional		$582.65	$685.43	$920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,574.05 / $1,873.87	Facility		$695.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.27 / $892.90 / $1,424.86	Professional		$577.27	$892.90	$1,424.86
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 $314.10 / $657.41 / $844.88	Professional		$314.10	$657.41	$844.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $503.34 / $883.37	Professional		$72.12	$503.34	$883.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.32 / $724.32 / $1,341.26	Professional		$511.32	$724.32	$1,341.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.83 / $495.83 / $656.01	Professional		$495.83	$495.83	$656.01