Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.74 / $5,839.00 / $11,624.00	Facility		$447.74	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.40 / $454.19 / $652.89	Professional		$421.40	$454.19	$652.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.36 / $661.65 / $1,039.65	Professional		$441.36	$661.65	$1,039.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $374.14 / $658.08	Professional		$349.20	$374.14	$658.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.72 / $589.42 / $810.78	Professional		$422.72	$589.42	$810.78
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $603.05 / $1,059.06	Professional		$426.25	$603.05	$1,059.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $367.92 / $367.92 / $367.92	Professional		$367.92	$367.92	$367.92