Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.00 / $5,839.00 / $12,669.00	Facility		$874.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.64 / $889.07 / $1,347.22	Professional		$789.64	$889.07	$1,347.22
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 $886.36 / $1,344.65 / $2,074.52	Professional		$886.36	$1,344.65	$2,074.52
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 $696.82 / $777.07 / $1,393.28	Professional		$696.82	$777.07	$1,393.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $837.93 / $1,367.04	Professional		$109.60	$837.93	$1,367.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $10,309.00 / $15,829.00	Facility		$3,500.00	$10,309.00	$15,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.10 / $1,143.01 / $2,183.86	Professional		$803.10	$1,143.01	$2,183.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.63 / $845.63 / $845.63	Professional		$845.63	$845.63	$845.63