Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.00 / $5,775.00 / $10,632.00	Facility		$1,022.00	$5,775.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $220.15 / $548.10	Professional		$169.48	$220.15	$548.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $1,389.94 / $3,125.00	Facility		$242.90	$1,389.94	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $272.38 / $424.38	Professional		$181.59	$272.38	$424.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,672.00 / $12,190.00 / $22,833.00	Facility		$4,672.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $184.50 / $249.82	Professional		$90.90	$184.50	$249.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.14 / $199.70 / $298.04	Professional		$139.14	$199.70	$298.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,675.00 / $9,772.00	Facility		$1,301.00	$5,675.00	$9,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $216.88 / $399.69	Professional		$159.61	$216.88	$399.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $166.73	Professional		$166.73	$166.73	$166.73