Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.15 / $4,003.00 / $11,550.00	Facility		$625.15	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.45 / $669.27 / $915.45	Professional		$587.45	$669.27	$915.45
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 $578.12 / $887.49 / $1,382.04	Professional		$578.12	$887.49	$1,382.04
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 $305.41 / $639.22 / $811.22	Professional		$305.41	$639.22	$811.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $527.87 / $897.10	Professional		$72.12	$527.87	$897.10
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 $508.95 / $710.24 / $1,344.01	Professional		$508.95	$710.24	$1,344.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $550.73 / $550.73 / $628.79	Professional		$550.73	$550.73	$628.79