Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $5,219.00 / $11,576.00	Facility		$630.00	$5,219.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $261.05 / $452.74	Professional		$234.81	$261.05	$452.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $956.77 / $1,139.02	Facility		$494.00	$956.77	$1,139.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $362.04 / $580.22	Professional		$221.99	$362.04	$580.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $181.02 / $193.95 / $456.06	Professional		$181.02	$193.95	$456.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $309.03 / $415.57	Professional		$219.90	$309.03	$415.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $334.98 / $570.98	Professional		$226.02	$334.98	$570.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $200.43 / $200.43	Professional		$200.43	$200.43	$200.43