Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,839.00 / $11,624.00	Facility		$1,500.00	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,165.89 / $4,661.97 / $6,685.21	Professional		$3,165.89	$4,661.97	$6,685.21
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 $3,454.62 / $3,700.02 / $7,400.04	Professional		$3,454.62	$3,700.02	$7,400.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $4,168.97 / $6,181.69	Professional		$334.08	$4,168.97	$6,181.69
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,613.43 / $5,701.28 / $10,530.79	Professional		$3,613.43	$5,701.28	$10,530.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,006.27 / $3,006.27 / $3,006.27	Professional		$3,006.27	$3,006.27	$3,006.27