Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,073.80 / $9,549.93	Facility		$870.96	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,348.96	Professional		$645.65	$794.33	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,467.37 / $4,168.69	Facility		$436.52	$3,467.37	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,548.82	Professional		$630.96	$954.99	$1,548.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $912.01	Professional		$416.87	$588.84	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,762.47 / $12,022.64	Facility		$2,630.27	$7,762.47	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,445.44	Professional		$562.34	$794.33	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $776.25	Professional		$602.56	$602.56	$776.25