Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $4,542.00 / $11,576.00	Facility		$526.00	$4,542.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.51 / $501.98 / $740.88	Professional		$459.51	$501.98	$740.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,583.55 / $1,885.18	Facility		$432.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $756.90 / $1,159.58	Professional		$492.36	$756.90	$1,159.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $404.87 / $437.50 / $769.52	Professional		$404.87	$437.50	$769.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $532.85 / $779.66	Professional		$69.62	$532.85	$779.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,066.00 / $12,748.00	Facility		$2,637.00	$8,066.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.24 / $663.97 / $1,164.49	Professional		$460.24	$663.97	$1,164.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.43 / $429.43 / $429.43	Professional		$429.43	$429.43	$429.43