Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,983.00 / $11,576.00	Facility		$602.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $133.62 / $225.33	Professional		$118.66	$133.62	$225.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,999.81 / $19,890.00 / $58,053.00	Facility		$2,999.81	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $180.31 / $288.76	Professional		$127.39	$180.31	$288.76
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 $96.12 / $102.99 / $207.69	Professional		$96.12	$102.99	$207.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $192.38 / $248.15	Professional		$140.90	$192.38	$248.15
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 $125.03 / $176.95 / $308.43	Professional		$125.03	$176.95	$308.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $101.87 / $101.87	Professional		$101.87	$101.87	$101.87