Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.60 / $3,401.00 / $11,481.00	Facility		$562.60	$3,401.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.39 / $617.67 / $838.22	Professional		$526.39	$617.67	$838.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,574.05 / $1,873.87	Facility		$432.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.57 / $802.26 / $1,275.23	Professional		$524.57	$802.26	$1,275.23
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 $274.49 / $571.91 / $713.05	Professional		$274.49	$571.91	$713.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $455.83 / $803.04	Professional		$71.34	$455.83	$803.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,197.00 / $12,989.00	Facility		$2,774.00	$8,197.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.12 / $665.88 / $1,204.78	Professional		$466.12	$665.88	$1,204.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.36 / $450.36 / $569.36	Professional		$450.36	$450.36	$569.36