Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $4,200.00 / $12,173.00	Facility		$828.00	$4,200.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.30 / $962.57 / $1,304.96	Professional		$779.30	$962.57	$1,304.96
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 $809.13 / $1,213.70 / $1,937.86	Professional		$809.13	$1,213.70	$1,937.86
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 $405.74 / $845.96 / $1,075.60	Professional		$405.74	$845.96	$1,075.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $736.25 / $1,238.07	Professional		$107.77	$736.25	$1,238.07
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 $698.56 / $977.98 / $1,737.71	Professional		$698.56	$977.98	$1,737.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $759.85 / $759.85 / $853.65	Professional		$759.85	$759.85	$853.65