Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.88 / $4,542.00 / $11,576.00	Facility		$544.88	$4,542.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $436.19 / $579.87	Professional		$378.95	$436.19	$579.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,198.01 / $1,426.20	Facility		$432.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.17 / $639.96 / $963.96	Professional		$412.17	$639.96	$963.96
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 $337.64 / $376.39 / $662.04	Professional		$337.64	$376.39	$662.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $449.01 / $701.30	Professional		$68.87	$449.01	$701.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.07 / $567.45 / $1,027.33	Professional		$395.07	$567.45	$1,027.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.05 / $386.05 / $386.05	Professional		$386.05	$386.05	$386.05