Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $11,576.00	Facility		$668.00	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.86 / $603.15 / $894.82	Professional		$514.86	$603.15	$894.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,389.94 / $3,125.00	Facility		$611.00	$1,389.94	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $786.58 / $1,221.35	Professional		$500.00	$786.58	$1,221.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,743.00 / $12,190.00 / $22,833.00	Facility		$4,743.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $276.98 / $580.32 / $717.40	Professional		$276.98	$580.32	$717.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $566.82 / $828.32	Professional		$68.84	$566.82	$828.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $10,254.00 / $15,888.00	Facility		$2,620.00	$10,254.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $669.33 / $1,184.40	Professional		$482.03	$669.33	$1,184.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.52 / $468.52 / $468.52	Professional		$468.52	$468.52	$468.52