Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,983.00 / $11,576.00	Facility		$602.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.98 / $615.04 / $855.84	Professional		$478.98	$615.04	$855.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,393.45 / $2,530.00	Facility		$494.00	$1,393.45	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $768.65 / $1,213.22	Professional		$500.00	$768.65	$1,213.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $6,499.00 / $11,885.00	Facility		$3,420.00	$6,499.00	$11,885.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $484.86 / $751.89	Professional		$254.55	$484.86	$751.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $585.06 / $871.02	Professional		$68.84	$585.06	$871.02
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 $453.22 / $636.55 / $1,217.04	Professional		$453.22	$636.55	$1,217.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.05 / $482.05 / $482.05	Professional		$482.05	$482.05	$482.05