Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.42 / $4,003.00 / $11,550.00	Facility		$573.42	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.66 / $658.84 / $918.95	Professional		$527.66	$658.84	$918.95
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 $564.80 / $848.21 / $1,334.08	Professional		$564.80	$848.21	$1,334.08
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 $278.44 / $582.78 / $751.86	Professional		$278.44	$582.78	$751.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $498.67 / $877.36	Professional		$71.41	$498.67	$877.36
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 $482.52 / $674.10 / $1,232.26	Professional		$482.52	$674.10	$1,232.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.97 / $537.97 / $598.28	Professional		$537.97	$537.97	$598.28