Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $5,839.00 / $13,430.00	Facility		$644.00	$5,839.00	$13,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.30 / $449.85 / $600.54	Professional		$377.30	$449.85	$600.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,574.05 / $11,754.00 / $30,357.00	Facility		$1,574.05	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $575.79 / $925.91	Professional		$371.72	$575.79	$925.91
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 $202.15 / $423.10 / $547.98	Professional		$202.15	$423.10	$547.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $346.47 / $595.30	Professional		$69.62	$346.47	$595.30
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 $335.29 / $472.55 / $848.02	Professional		$335.29	$472.55	$848.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $359.50 / $422.97	Professional		$359.50	$359.50	$422.97