Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.35 / $4,003.00 / $11,550.00	Facility		$897.35	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.11 / $1,002.47 / $1,350.52	Professional		$862.11	$1,002.47	$1,350.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $3,499.48 / $4,166.05	Facility		$494.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $1,288.40 / $2,123.06	Professional		$849.30	$1,288.40	$2,123.06
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 $485.84 / $971.67 / $1,238.65	Professional		$485.84	$971.67	$1,238.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $753.63 / $1,304.10	Professional		$72.48	$753.63	$1,304.10
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 $780.16 / $1,100.48 / $1,866.37	Professional		$780.16	$1,100.48	$1,866.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $789.72 / $789.72 / $1,019.71	Professional		$789.72	$789.72	$1,019.71