Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $5,789.27 / $12,514.00	Facility		$734.00	$5,789.27	$12,514.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.96 / $430.96 / $593.55	Professional		$399.96	$430.96	$593.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,668.84 / $1,986.72	Facility		$695.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.08 / $642.62 / $1,009.48	Professional		$452.08	$642.62	$1,009.48
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 $325.27 / $400.93 / $710.97	Professional		$325.27	$400.93	$710.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $373.04 / $699.64	Professional		$71.09	$373.04	$699.64
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 $408.31 / $586.34 / $1,098.41	Professional		$408.31	$586.34	$1,098.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $413.37 / $413.37 / $413.37	Professional		$413.37	$413.37	$413.37