Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.44 / $3,836.00 / $12,173.00	Facility		$685.44	$3,836.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.12 / $796.06 / $1,099.07	Professional		$645.12	$796.06	$1,099.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $3,499.48 / $4,166.05	Facility		$695.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.35 / $1,021.88 / $1,615.31	Professional		$680.35	$1,021.88	$1,615.31
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 $345.21 / $722.52 / $941.42	Professional		$345.21	$722.52	$941.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $598.92 / $1,049.44	Professional		$107.01	$598.92	$1,049.44
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 $583.40 / $838.41 / $1,475.90	Professional		$583.40	$838.41	$1,475.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $561.02 / $561.02 / $741.14	Professional		$561.02	$561.02	$741.14