Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,790.00 / $11,576.00	Facility		$602.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $197.11 / $351.85	Professional		$181.30	$197.11	$351.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.12 / $19,890.00 / $58,053.00	Facility		$2,016.12	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.87 / $265.45 / $405.25	Professional		$181.87	$265.45	$405.25
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 $130.37 / $139.68 / $292.33	Professional		$130.37	$139.68	$292.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $178.86 / $226.33	Professional		$130.08	$178.86	$226.33
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 $184.17 / $260.54 / $463.44	Professional		$184.17	$260.54	$463.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $145.79 / $145.79	Professional		$145.79	$145.79	$145.79