Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.99 / $4,003.00 / $11,550.00	Facility		$445.99	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.99 / $501.80 / $670.28	Professional		$416.99	$501.80	$670.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.04 / $635.62 / $1,027.97	Professional		$416.04	$635.62	$1,027.97
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 $226.29 / $473.62 / $632.01	Professional		$226.29	$473.62	$632.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $378.81 / $639.94	Professional		$69.89	$378.81	$639.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $518.74 / $947.35	Professional		$362.38	$518.74	$947.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $390.60 / $480.60	Professional		$390.60	$390.60	$480.60