Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,983.00 / $11,576.00	Facility		$621.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.45 / $588.01 / $770.00	Professional		$532.45	$588.01	$770.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,513.44 / $2,992.19	Facility		$494.00	$2,513.44	$2,992.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $841.31 / $1,318.16	Professional		$528.41	$841.31	$1,318.16
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 $438.30 / $469.60 / $826.00	Professional		$438.30	$469.60	$826.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $601.24 / $836.52	Professional		$70.90	$601.24	$836.52
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 $525.99 / $771.95 / $1,278.00	Professional		$525.99	$771.95	$1,278.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.69 / $488.69 / $488.69	Professional		$488.69	$488.69	$488.69