Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,790.00 / $11,576.00	Facility		$602.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.91 / $216.27 / $280.95	Professional		$198.91	$216.27	$280.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,668.84 / $1,986.72	Facility		$323.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $333.83 / $524.23	Professional		$221.13	$333.83	$524.23
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 $175.29 / $187.81 / $330.35	Professional		$175.29	$187.81	$330.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $269.10 / $388.25	Professional		$189.90	$269.10	$388.25
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 $206.22 / $302.20 / $515.17	Professional		$206.22	$302.20	$515.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $194.56 / $194.56	Professional		$194.56	$194.56	$194.56