Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.54 / $3,279.00 / $10,632.00	Facility		$522.54	$3,279.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.44 / $582.75 / $784.47	Professional		$490.44	$582.75	$784.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,995.07 / $2,375.08	Facility		$432.00	$1,995.07	$2,375.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $752.79 / $1,198.47	Professional		$487.34	$752.79	$1,198.47
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 $263.25 / $550.98 / $809.39	Professional		$263.25	$550.98	$809.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $428.86 / $791.43	Professional		$71.09	$428.86	$791.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,197.00 / $12,989.00	Facility		$2,774.00	$8,197.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.50 / $618.22 / $1,129.14	Professional		$447.50	$618.22	$1,129.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $462.90 / $462.90 / $563.02	Professional		$462.90	$462.90	$563.02