Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,245.00 / $11,576.00	Facility		$602.00	$4,245.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,049.14 / $4,168.97 / $9,749.39	Facility	50	$2,049.14	$4,168.97	$9,749.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $1,174.91 / $3,167.76	Professional		$164.75	$1,174.91	$3,167.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $182.22 / $182.22 / $182.22	Professional	50	$182.22	$182.22	$182.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,427.35 / $1,699.22	Facility		$323.00	$1,427.35	$1,699.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $733.58 / $3,586.58	Professional		$184.02	$733.58	$3,586.58
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 $1,028.05 / $1,167.22 / $3,913.12	Professional		$1,028.05	$1,167.22	$3,913.12
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 $1,585.94 / $2,827.74 / $5,199.33	Professional		$1,585.94	$2,827.74	$5,199.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.35 / $1,320.71 / $1,320.71	Professional		$149.35	$1,320.71	$1,320.71