Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $6,977.00 / $14,333.00	Facility		$886.00	$6,977.00	$14,333.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.98 / $639.61 / $964.45	Professional		$601.98	$639.61	$964.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,851.07 / $11,754.00 / $30,357.00	Facility		$2,851.07	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.12 / $982.17 / $1,523.09	Professional		$641.12	$982.17	$1,523.09
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 $510.59 / $547.05 / $962.24	Professional		$510.59	$547.05	$962.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $699.19 / $979.10	Professional		$70.98	$699.19	$979.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $12,923.00 / $19,866.00	Facility		$4,072.00	$12,923.00	$19,866.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.11 / $903.52 / $1,599.89	Professional		$623.11	$903.52	$1,599.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.69 / $560.69 / $560.69	Professional		$560.69	$560.69	$560.69