Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.83 / $4,594.00 / $11,901.00	Facility		$570.83	$4,594.00	$11,901.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $641.37 / $855.42	Professional		$537.25	$641.37	$855.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $9,292.40 / $11,062.38	Facility		$695.00	$9,292.40	$11,062.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.60 / $819.76 / $1,311.48	Professional		$531.60	$819.76	$1,311.48
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 $289.54 / $602.75 / $738.79	Professional		$289.54	$602.75	$738.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $458.85 / $832.55	Professional		$71.34	$458.85	$832.55
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 $487.37 / $674.48 / $1,169.55	Professional		$487.37	$674.48	$1,169.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.75 / $496.75 / $611.25	Professional		$496.75	$496.75	$611.25