Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $4,594.00 / $11,576.00	Facility		$293.62	$4,594.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $306.89 / $433.52	Professional		$228.46	$306.89	$433.52
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 $249.76 / $386.26 / $589.95	Professional		$249.76	$386.26	$589.95
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 $233.56 / $250.24 / $504.66	Professional		$233.56	$250.24	$504.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $337.45 / $443.76	Professional		$240.90	$337.45	$443.76
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 $300.06 / $420.34 / $768.18	Professional		$300.06	$420.34	$768.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $260.18 / $260.18	Professional		$191.49	$260.18	$260.18