Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $5,839.00 / $12,669.00	Facility		$714.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.20 / $662.46 / $880.68	Professional		$619.20	$662.46	$880.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $3,111.27 / $3,703.90	Facility		$695.00	$3,111.27	$3,703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.17 / $987.62 / $1,549.36	Professional		$668.17	$987.62	$1,549.36
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 $541.00 / $590.10 / $1,037.94	Professional		$541.00	$590.10	$1,037.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $726.33 / $1,056.78	Professional		$104.61	$726.33	$1,056.78
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 $631.04 / $901.73 / $1,605.42	Professional		$631.04	$901.73	$1,605.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.90 / $506.90 / $506.90	Professional		$506.90	$506.90	$506.90