Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.87 / $4,755.00 / $12,669.00	Facility		$990.87	$4,755.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.34 / $1,172.05 / $1,605.82	Professional		$935.34	$1,172.05	$1,605.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $2,907.91 / $3,461.80	Facility		$695.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.11 / $1,607.74 / $2,617.64	Professional		$1,072.11	$1,607.74	$2,617.64
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 $982.35 / $1,087.39 / $1,937.73	Professional		$982.35	$1,087.39	$1,937.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $1,226.90 / $1,968.60	Professional		$138.05	$1,226.90	$1,968.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.02 / $1,643.16 / $3,001.48	Professional		$1,144.02	$1,643.16	$3,001.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.78 / $1,161.98 / $1,161.98	Professional		$912.78	$1,161.98	$1,161.98