Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $5,839.00 / $11,624.00	Facility		$1,449.00	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $4,096.22	Professional		$3,135.99	$3,135.99	$4,096.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,410.04 / $2,820.07 / $3,567.90	Professional		$1,410.04	$2,820.07	$3,567.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,699.93 / $2,405.94 / $3,372.82	Professional		$1,699.93	$2,405.94	$3,372.82
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $4,414.00 / $9,150.00	Facility		$573.00	$4,414.00	$9,150.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,931.74 / $1,931.74 / $1,931.74	Professional		$1,931.74	$1,931.74	$1,931.74