Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.89 / $3,401.00 / $11,576.00	Facility		$452.89	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.86 / $483.16 / $669.57	Professional		$354.86	$483.16	$669.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $614.40 / $1,014.78	Professional		$379.50	$614.40	$1,014.78
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 $249.98 / $509.72 / $650.97	Professional		$249.98	$509.72	$650.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $378.60 / $699.08	Professional		$71.09	$378.60	$699.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.53 / $600.19 / $1,065.98	Professional		$421.53	$600.19	$1,065.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.86 / $433.80 / $433.80	Professional		$316.86	$433.80	$433.80