Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.00 / $4,003.00 / $11,550.00	Facility		$1,022.00	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.58 / $1,301.10 / $1,756.56	Professional		$929.58	$1,301.10	$1,756.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $4,687.59 / $5,580.46	Facility		$494.00	$4,687.59	$5,580.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.66 / $1,680.17 / $2,628.01	Professional		$972.66	$1,680.17	$2,628.01
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 $563.54 / $944.14 / $1,446.49	Professional		$563.54	$944.14	$1,446.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $1,011.99 / $1,725.24	Professional		$144.24	$1,011.99	$1,725.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.08 / $1,269.34 / $2,420.80	Professional		$731.08	$1,269.34	$2,420.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $590.67 / $590.67 / $1,126.08	Professional		$590.67	$590.67	$1,126.08