Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $5,839.00 / $11,576.00	Facility		$714.00	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $222.86 / $289.66	Professional		$202.88	$222.86	$289.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,649.96 / $1,964.23	Facility		$611.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $320.93 / $527.58	Professional		$201.38	$320.93	$527.58
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 $163.87 / $175.58 / $308.83	Professional		$163.87	$175.58	$308.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.68 / $273.33 / $366.08	Professional		$193.68	$273.33	$366.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $6,494.00 / $23,125.00	Facility		$1,681.00	$6,494.00	$23,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $288.89 / $488.02	Professional		$198.73	$288.89	$488.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.54 / $181.54 / $181.54	Professional		$181.54	$181.54	$181.54