Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,555.00 / $11,576.00	Facility		$644.00	$4,555.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.72 / $302.83 / $429.62	Professional		$255.72	$302.83	$429.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $655.25 / $2,530.00	Facility		$346.31	$655.25	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $396.00 / $613.51	Professional		$271.02	$396.00	$613.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,384.00 / $4,562.00 / $9,053.00	Facility		$2,384.00	$4,562.00	$9,053.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $222.03 / $292.43	Professional		$107.74	$222.03	$292.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $325.86 / $587.83	Professional		$240.11	$325.86	$587.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.12 / $394.12 / $394.12	Professional		$394.12	$394.12	$394.12