Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.55 / $3,401.00 / $11,576.00	Facility		$523.55	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.49 / $573.98 / $781.15	Professional		$422.49	$573.98	$781.15
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 $441.11 / $719.43 / $1,176.88	Professional		$441.11	$719.43	$1,176.88
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 $289.07 / $593.90 / $751.32	Professional		$289.07	$593.90	$751.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $458.44 / $826.06	Professional		$72.12	$458.44	$826.06
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 $496.14 / $696.71 / $1,232.59	Professional		$496.14	$696.71	$1,232.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $504.27 / $504.27	Professional		$376.60	$504.27	$504.27