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 / $4,306.09	Professional		$3,135.99	$3,135.99	$4,306.09
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 $1,590.30 / $3,180.59 / $4,024.24	Professional		$1,590.30	$3,180.59	$4,024.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
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 $2,711.34 / $2,711.34 / $2,711.34	Professional		$2,711.34	$2,711.34	$2,711.34