Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,245.00 / $11,576.00	Facility		$621.00	$4,245.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $888.37 / $1,708.69	Professional		$283.27	$888.37	$1,708.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.55 / $19,890.00 / $58,053.00	Facility		$1,583.55	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $806.94 / $2,190.90	Professional		$313.26	$806.94	$2,190.90
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $903.61 / $968.16 / $1,952.48	Professional		$903.61	$968.16	$1,952.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $1,223.55 / $1,695.48	Professional		$138.60	$1,223.55	$1,695.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,917.00 / $12,989.00	Facility		$2,637.00	$8,917.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.67 / $1,599.14 / $2,761.37	Professional		$1,043.67	$1,599.14	$2,761.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.84 / $370.37 / $370.37	Professional		$255.84	$370.37	$370.37