Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,790.00 / $11,624.00	Facility		$988.00	$4,790.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $3,714.00 / $11,576.00	Professional		$412.00	$3,714.00	$11,576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,139.00 / $12,804.00 / $23,031.00	Facility		$6,139.00	$12,804.00	$23,031.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $545.86 / $732.73 / $967.92	Professional		$545.86	$732.73	$967.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,640.00 / $18,694.00	Facility		$4,462.00	$12,640.00	$18,694.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $586.19 / $586.19	Professional		$586.19	$586.19	$586.19