Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $3,714.00 / $13,140.00	Facility		$358.71	$3,714.00	$13,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $385.74 / $2,752.38	Professional		$147.80	$385.74	$2,752.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,935.57 / $12,484.00 / $54,020.00	Facility		$8,935.57	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $536.58 / $3,424.32	Professional		$223.28	$536.58	$3,424.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $248.45 / $3,669.92	Professional		$92.60	$248.45	$3,669.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $3,294.09 / $5,064.93	Professional		$361.11	$3,294.09	$5,064.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $17,475.00 / $48,591.00	Facility		$4,462.00	$17,475.00	$48,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $1,352.06 / $3,169.46	Professional		$168.45	$1,352.06	$3,169.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $162.63 / $162.63	Professional		$154.43	$162.63	$162.63