Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.30 / $3,836.00 / $11,550.00	Facility		$325.30	$3,836.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.58 / $328.31 / $525.94	Professional		$253.58	$328.31	$525.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,649.96 / $1,964.23	Facility		$432.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.79 / $440.65 / $747.15	Professional		$274.79	$440.65	$747.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $296.11 / $533.54	Professional		$146.77	$296.11	$533.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $489.39 / $661.56	Professional		$330.32	$489.39	$661.56
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.19 / $487.88 / $859.83	Professional		$323.19	$487.88	$859.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.28 / $321.45 / $321.45	Professional		$217.28	$321.45	$321.45