Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $12,669.00	Facility		$668.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.43 / $459.46 / $610.80	Professional		$432.43	$459.46	$610.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $2,218.38 / $2,640.93	Facility		$695.00	$2,218.38	$2,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.88 / $722.15 / $1,150.72	Professional		$478.88	$722.15	$1,150.72
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 $382.26 / $409.57 / $720.39	Professional		$382.26	$409.57	$720.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $479.77 / $699.33	Professional		$69.02	$479.77	$699.33
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 $450.57 / $642.98 / $1,163.06	Professional		$450.57	$642.98	$1,163.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $423.58 / $423.58 / $423.58	Professional		$423.58	$423.58	$423.58