Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,717.00 / $11,576.00	Facility		$621.00	$4,717.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $267.88 / $381.44	Professional		$252.12	$267.88	$381.44
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 $253.44 / $402.34 / $623.70	Professional		$253.44	$402.34	$623.70
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 $205.94 / $220.65 / $388.10	Professional		$205.94	$220.65	$388.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $313.42 / $433.87	Professional		$41.24	$313.42	$433.87
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 $246.95 / $359.17 / $607.78	Professional		$246.95	$359.17	$607.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $229.54 / $229.54	Professional		$229.54	$229.54	$229.54