Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.00 / $4,790.00 / $11,576.00	Facility		$829.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.44 / $840.90 / $1,156.10	Professional		$791.44	$840.90	$1,156.10
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 $791.86 / $1,255.01 / $1,969.71	Professional		$791.86	$1,255.01	$1,969.71
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 $645.49 / $691.59 / $1,216.46	Professional		$645.49	$691.59	$1,216.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $879.02 / $1,235.02	Professional		$105.94	$879.02	$1,235.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.14 / $1,137.50 / $1,902.95	Professional		$782.14	$1,137.50	$1,902.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $717.46 / $717.46 / $717.46	Professional		$717.46	$717.46	$717.46