Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $4,696.00 / $11,576.00	Facility		$630.00	$4,696.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.77 / $527.80 / $752.46	Professional		$496.77	$527.80	$752.46
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 $489.02 / $796.75 / $1,272.79	Professional		$489.02	$796.75	$1,272.79
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 $405.99 / $434.99 / $765.12	Professional		$405.99	$434.99	$765.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $550.09 / $768.42	Professional		$69.89	$550.09	$768.42
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 $491.10 / $707.35 / $1,265.40	Professional		$491.10	$707.35	$1,265.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.43 / $452.43 / $452.43	Professional		$452.43	$452.43	$452.43