Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $12,669.00	Facility		$668.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.44 / $403.80 / $614.76	Professional		$371.44	$403.80	$614.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $2,695.51 / $6,644.00	Facility		$459.91	$2,695.51	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.33 / $544.77 / $826.56	Professional		$349.33	$544.77	$826.56
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 $202.37 / $395.64 / $486.12	Professional		$202.37	$395.64	$486.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.24 / $448.97 / $660.25	Professional		$330.24	$448.97	$660.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,788.00 / $7,558.00 / $12,040.00	Facility		$1,788.00	$7,558.00	$12,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $453.85 / $796.73	Professional		$331.25	$453.85	$796.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.92 / $307.92 / $307.92	Professional		$307.92	$307.92	$307.92