Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $4,755.00 / $11,576.00	Facility		$412.00	$4,755.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $269.67 / $420.04	Professional		$253.80	$269.67	$420.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $408.73 / $641.16	Professional		$265.08	$408.73	$641.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $233.11 / $419.27	Professional		$168.42	$233.11	$419.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $335.11 / $468.79	Professional		$43.76	$335.11	$468.79
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 $260.48 / $372.98 / $663.29	Professional		$260.48	$372.98	$663.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $246.13 / $246.13	Professional		$246.13	$246.13	$246.13