Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $5,839.00 / $12,444.00	Facility		$769.00	$5,839.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.04 / $787.44 / $1,167.92	Professional		$666.04	$787.44	$1,167.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $500.00 / $2,530.00	Facility		$400.00	$500.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.77 / $1,009.49 / $1,572.37	Professional		$665.77	$1,009.49	$1,572.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,743.00 / $12,190.00 / $22,833.00	Facility		$4,743.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $688.99 / $973.86	Professional		$356.46	$688.99	$973.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $771.27 / $1,156.23	Professional		$69.02	$771.27	$1,156.23
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 $606.33 / $839.13 / $1,585.11	Professional		$606.33	$839.13	$1,585.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $618.91 / $618.91 / $618.91	Professional		$618.91	$618.91	$618.91