Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $6,024.00 / $11,624.00	Facility		$668.00	$6,024.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $733.22 / $995.81	Professional		$603.70	$733.22	$995.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.92 / $1,679.72 / $3,125.00	Facility		$564.92	$1,679.72	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.73 / $933.76 / $1,462.23	Professional		$620.73	$933.76	$1,462.23
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 $332.56 / $687.00 / $901.34	Professional		$332.56	$687.00	$901.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $684.77 / $1,048.80	Professional		$69.02	$684.77	$1,048.80
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 $558.52 / $773.38 / $1,447.13	Professional		$558.52	$773.38	$1,447.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.14 / $570.14 / $570.14	Professional		$570.14	$570.14	$570.14