Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $4,198.00 / $11,624.00	Facility		$407.00	$4,198.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $328.49 / $500.39	Professional		$281.18	$328.49	$500.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,104.71 / $1,652.00	Facility		$323.00	$1,104.71	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.32 / $432.26 / $679.10	Professional		$289.32	$432.26	$679.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,562.00 / $9,053.00	Facility		$2,284.00	$4,562.00	$9,053.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $324.52 / $408.44	Professional		$152.94	$324.52	$408.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $321.56 / $482.80	Professional		$39.69	$321.56	$482.80
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 $262.39 / $355.36 / $636.86	Professional		$262.39	$355.36	$636.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08