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 $120.83 / $132.93 / $220.42	Professional		$120.83	$132.93	$220.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,363.55 / $19,890.00 / $58,053.00	Facility		$4,363.55	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $186.70 / $290.99	Professional		$130.47	$186.70	$290.99
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 $98.21 / $105.22 / $212.20	Professional		$98.21	$105.22	$212.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $193.26 / $248.15	Professional		$140.90	$193.26	$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 $123.67 / $176.24 / $304.66	Professional		$123.67	$176.24	$304.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $104.68 / $104.68	Professional		$104.68	$104.68	$104.68