Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.79 / $4,790.00 / $11,576.00	Facility		$602.79	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.42 / $469.41 / $879.79	Professional		$422.42	$469.41	$879.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,389.94 / $1,654.69	Facility		$494.00	$1,389.94	$1,654.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.11 / $699.40 / $1,069.07	Professional		$457.11	$699.40	$1,069.07
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 $362.48 / $388.37 / $683.12	Professional		$362.48	$388.37	$683.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $493.42 / $710.45	Professional		$69.02	$493.42	$710.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,936.00 / $5,811.00 / $9,651.00	Facility		$1,936.00	$5,811.00	$9,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $611.94 / $1,080.68	Professional		$427.36	$611.94	$1,080.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $412.60 / $412.60	Professional		$412.60	$412.60	$412.60