Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $3,401.00 / $11,550.00	Facility		$644.00	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.02 / $2,801.78 / $4,933.96	Professional		$850.02	$2,801.78	$4,933.96
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 $877.00 / $877.00 / $877.00	Professional		$877.00	$877.00	$877.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $2,406.00 / $4,241.00	Facility		$1,485.00	$2,406.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,044.00 / $1,044.00	Professional		$1,044.00	$1,044.00	$1,044.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $414.72 / $648.01	Professional		$40.00	$414.72	$648.01
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.14 / $371.14 / $371.14	Professional		$371.14	$371.14	$371.14