Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.96 / $4,983.00 / $11,576.00	Facility		$635.96	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $635.96 / $876.98	Professional		$598.54	$635.96	$876.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,649.96 / $1,964.23	Facility		$494.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.12 / $966.54 / $1,482.70	Professional		$603.12	$966.54	$1,482.70
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 $491.66 / $526.78 / $926.56	Professional		$491.66	$526.78	$926.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $663.22 / $967.26	Professional		$70.98	$663.22	$967.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.21 / $826.30 / $1,483.18	Professional		$590.21	$826.30	$1,483.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $486.68 / $486.68	Professional		$486.68	$486.68	$486.68