Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,797.00 / $11,576.00	Facility		$668.00	$5,797.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.81 / $242.86 / $374.83	Professional		$197.81	$242.86	$374.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $1,389.94 / $3,125.00	Facility		$280.11	$1,389.94	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $312.95 / $490.19	Professional		$211.48	$312.95	$490.19
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 $106.51 / $228.22 / $292.89	Professional		$106.51	$228.22	$292.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $236.03 / $346.03	Professional		$167.19	$236.03	$346.03
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 $186.55 / $251.68 / $451.12	Professional		$186.55	$251.68	$451.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $192.26 / $192.26	Professional		$192.26	$192.26	$192.26