Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.89 / $5,839.00 / $11,576.00	Facility		$1,179.89	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,251.27 / $1,654.76	Professional		$1,153.04	$1,251.27	$1,654.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.26 / $1,809.51 / $2,813.09	Professional		$1,182.26	$1,809.51	$2,813.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $938.54 / $1,005.58 / $1,768.74	Professional		$938.54	$1,005.58	$1,768.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $1,075.54 / $1,736.76	Professional		$149.90	$1,075.54	$1,736.76
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.66 / $1,644.85 / $2,857.74	Professional		$1,148.66	$1,644.85	$2,857.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,005.21 / $1,005.21	Professional		$1,005.21	$1,005.21	$1,005.21