Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.59 / $3,836.00 / $12,173.00	Facility		$413.59	$3,836.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.26 / $455.69 / $621.27	Professional		$389.26	$455.69	$621.27
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 $385.72 / $589.91 / $918.26	Professional		$385.72	$589.91	$918.26
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 $195.74 / $409.69 / $539.58	Professional		$195.74	$409.69	$539.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $353.53 / $603.90	Professional		$69.62	$353.53	$603.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,969.00 / $10,192.00	Facility		$1,954.00	$5,969.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.52 / $478.00 / $888.63	Professional		$338.52	$478.00	$888.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $368.43 / $368.43 / $404.89	Professional		$368.43	$368.43	$404.89