Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $3,836.00 / $12,444.00	Facility		$1,163.00	$3,836.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.75 / $1,457.83 / $1,969.30	Professional		$1,060.75	$1,457.83	$1,969.30
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 $1,145.33 / $1,896.95 / $2,942.26	Professional		$1,145.33	$1,896.95	$2,942.26
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 $639.17 / $1,072.29 / $1,683.34	Professional		$639.17	$1,072.29	$1,683.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $1,122.28 / $1,947.81	Professional		$144.84	$1,122.28	$1,947.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,949.00 / $20,609.00	Facility		$4,462.00	$12,949.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.48 / $1,459.64 / $2,905.69	Professional		$873.48	$1,459.64	$2,905.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $943.29 / $943.29 / $1,259.70	Professional		$943.29	$943.29	$1,259.70