Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,983.00 / $11,576.00	Facility		$621.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.98 / $573.48 / $1,011.76	Professional		$534.98	$573.48	$1,011.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,583.55 / $1,885.18	Facility		$494.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.49 / $766.98 / $1,214.56	Professional		$532.49	$766.98	$1,214.56
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 $409.16 / $438.38 / $884.09	Professional		$409.16	$438.38	$884.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $572.68 / $774.71	Professional		$45.54	$572.68	$774.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,197.00 / $12,748.00	Facility		$2,637.00	$8,197.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.17 / $768.82 / $1,340.42	Professional		$551.17	$768.82	$1,340.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $435.33 / $435.33	Professional		$435.33	$435.33	$435.33