Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $8,146.00 / $15,300.00	Facility		$1,449.00	$8,146.00	$15,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.84 / $705.87 / $1,090.95	Professional		$660.84	$705.87	$1,090.95
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 $679.49 / $1,035.44 / $1,633.97	Professional		$679.49	$1,035.44	$1,633.97
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 $505.46 / $606.96 / $1,076.00	Professional		$505.46	$606.96	$1,076.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $525.50 / $990.12	Professional		$151.51	$525.50	$990.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $12,856.00 / $19,866.00	Facility		$4,072.00	$12,856.00	$19,866.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.56 / $956.80 / $1,694.21	Professional		$688.56	$956.80	$1,694.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.50 / $611.50 / $611.50	Professional		$611.50	$611.50	$611.50