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 $479.14 / $509.09 / $701.22	Professional		$479.14	$509.09	$701.22
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 $481.77 / $755.32 / $1,185.28	Professional		$481.77	$755.32	$1,185.28
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 $392.69 / $420.74 / $740.05	Professional		$392.69	$420.74	$740.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $549.90 / $766.87	Professional		$69.89	$549.90	$766.87
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 $476.51 / $694.13 / $1,161.88	Professional		$476.51	$694.13	$1,161.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $438.65 / $438.65	Professional		$438.65	$438.65	$438.65