Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.60 / $4,003.00 / $11,550.00	Facility		$860.60	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.94 / $967.33 / $1,322.05	Professional		$849.94	$967.33	$1,322.05
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 $805.30 / $1,252.79 / $2,025.46	Professional		$805.30	$1,252.79	$2,025.46
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 $490.12 / $927.36 / $1,101.70	Professional		$490.12	$927.36	$1,101.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $731.16 / $1,254.75	Professional		$107.12	$731.16	$1,254.75
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 $719.39 / $1,012.86 / $1,890.63	Professional		$719.39	$1,012.86	$1,890.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $730.61 / $730.61 / $827.37	Professional		$730.61	$730.61	$827.37