Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.23 / $4,022.00 / $12,173.00	Facility		$553.23	$4,022.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.67 / $611.51 / $827.58	Professional		$520.67	$611.51	$827.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $3,499.48 / $4,166.05	Facility		$695.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.20 / $797.14 / $1,261.68	Professional		$516.20	$797.14	$1,261.68
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 $273.80 / $573.07 / $751.23	Professional		$273.80	$573.07	$751.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.35 / $481.91 / $840.16	Professional		$71.35	$481.91	$840.16
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 $463.81 / $654.38 / $1,186.24	Professional		$463.81	$654.38	$1,186.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.50 / $491.50 / $573.66	Professional		$491.50	$491.50	$573.66