Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,245.00 / $11,576.00	Facility		$621.00	$4,245.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,152.00 / $2,137.94 / $2,660.80	Facility	50	$1,152.00	$2,137.94	$2,660.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $1,514.13 / $2,221.69	Professional		$144.99	$1,514.13	$2,221.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $3,064.72 / $3,648.48	Facility		$323.00	$3,064.72	$3,648.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $642.55 / $3,043.69	Professional		$160.63	$642.55	$3,043.69
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,742.00 / $23,031.00	Facility		$5,855.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,009.73 / $1,081.85 / $2,093.76	Professional		$1,009.73	$1,081.85	$2,093.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,721.86 / $2,340.61	Professional		$1,225.70	$1,721.86	$2,340.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,989.00	Facility		$2,637.00	$8,136.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.38 / $2,247.35 / $3,927.07	Professional		$1,563.38	$2,247.35	$3,927.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $1,298.90 / $1,298.90	Professional		$130.85	$1,298.90	$1,298.90