Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $5,486.00 / $11,576.00	Facility		$602.00	$5,486.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.62 / $286.85 / $435.93	Professional		$256.62	$286.85	$435.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $2,530.00 / $3,535.21	Facility		$317.77	$2,530.00	$3,535.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $392.37 / $588.13	Professional		$248.48	$392.37	$588.13
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 $150.47 / $304.52 / $384.85	Professional		$150.47	$304.52	$384.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $306.86 / $453.78	Professional		$222.64	$306.86	$453.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $12,291.00 / $18,694.00	Facility		$3,700.00	$12,291.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $328.02 / $562.07	Professional		$232.88	$328.02	$562.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $210.90 / $210.90	Professional		$210.90	$210.90	$210.90