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 Professional Modifier Low / Median / High Price $280.24 / $899.75 / $1,426.10	Professional		$280.24	$899.75	$1,426.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,226.00 / $19,890.00 / $58,053.00	Facility		$5,226.00	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $754.75 / $1,949.12	Professional		$315.80	$754.75	$1,949.12
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 $721.42 / $765.10 / $1,558.80	Professional		$721.42	$765.10	$1,558.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $983.41 / $1,361.80	Professional		$135.91	$983.41	$1,361.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $12,207.00 / $18,694.00	Facility		$4,072.00	$12,207.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.81 / $1,431.53 / $2,657.08	Professional		$945.81	$1,431.53	$2,657.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $371.09 / $371.09	Professional		$253.28	$371.09	$371.09