Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.71 / $5,839.00 / $12,669.00	Facility		$804.71	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $804.71 / $1,237.80	Professional		$703.19	$804.71	$1,237.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $2,907.91 / $3,461.80	Facility		$695.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.09 / $1,216.38 / $1,951.76	Professional		$807.09	$1,216.38	$1,951.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $613.12 / $723.33 / $1,272.29	Professional		$613.12	$723.33	$1,272.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $794.51 / $1,274.94	Professional		$105.44	$794.51	$1,274.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.02 / $1,096.58 / $2,020.02	Professional		$750.02	$1,096.58	$2,020.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.38 / $609.38 / $609.38	Professional		$609.38	$609.38	$609.38