Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.29 / $5,839.00 / $12,669.00	Facility		$694.29	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.24 / $493.26 / $655.74	Professional		$464.24	$493.26	$655.74
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 $513.91 / $743.94 / $1,202.28	Professional		$513.91	$743.94	$1,202.28
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 $408.60 / $437.79 / $770.04	Professional		$408.60	$437.79	$770.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $519.91 / $785.27	Professional		$69.51	$519.91	$785.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.25 / $700.16 / $1,216.93	Professional		$478.25	$700.16	$1,216.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $406.57 / $406.57	Professional		$406.57	$406.57	$406.57