Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,714.00 / $11,576.00	Facility		$394.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $186.98 / $258.30	Professional		$175.98	$186.98	$258.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,649.96 / $1,964.23	Facility		$323.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $284.77 / $436.51	Professional		$177.57	$284.77	$436.51
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 $144.83 / $155.16 / $272.93	Professional		$144.83	$155.16	$272.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $205.61 / $285.29	Professional		$143.25	$205.61	$285.29
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 $174.96 / $253.46 / $425.94	Professional		$174.96	$253.46	$425.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $161.88 / $161.88	Professional		$161.88	$161.88	$161.88