Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.21 / $4,790.00 / $11,576.00	Facility		$982.21	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.32 / $1,090.33 / $1,626.32	Professional		$896.32	$1,090.33	$1,626.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $500.00 / $3,353.20	Facility		$400.00	$500.00	$3,353.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.10 / $1,395.18 / $2,163.92	Professional		$917.10	$1,395.18	$2,163.92
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 $489.69 / $900.73 / $1,332.79	Professional		$489.69	$900.73	$1,332.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $1,021.35 / $1,529.77	Professional		$104.23	$1,021.35	$1,529.77
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
United Facility/Professional Professional Modifier Low / Median / High Price $849.80 / $1,179.57 / $2,185.15	Professional		$849.80	$1,179.57	$2,185.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.40 / $846.40 / $846.40	Professional		$846.40	$846.40	$846.40