Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $4,245.00 / $11,576.00	Facility		$630.00	$4,245.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,118.00 / $1,118.00 / $1,118.00	Facility	50	$1,118.00	$1,118.00	$1,118.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $1,142.71 / $3,363.78	Professional		$131.25	$1,142.71	$3,363.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,412.83 / $1,681.95	Facility		$323.00	$1,412.83	$1,681.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $587.67 / $3,523.42	Professional		$147.36	$587.67	$3,523.42
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 $999.87 / $1,135.58 / $3,874.12	Professional		$999.87	$1,135.58	$3,874.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,198.21 / $1,683.05 / $2,299.72	Professional		$1,198.21	$1,683.05	$2,299.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.85 / $2,759.12 / $5,101.63	Professional		$1,554.85	$2,759.12	$5,101.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $1,287.02 / $1,287.02	Professional		$119.26	$1,287.02	$1,287.02