Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $4,790.00 / $13,140.00	Facility		$377.00	$4,790.00	$13,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.85 / $304.12 / $411.84	Professional		$256.85	$304.12	$411.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,502.00 / $20,055.00 / $54,020.00	Facility		$11,502.00	$20,055.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $402.16 / $629.30	Professional		$262.57	$402.16	$629.30
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 $140.47 / $280.93 / $354.71	Professional		$140.47	$280.93	$354.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $259.27 / $420.85	Professional		$64.97	$259.27	$420.85
United Facility/Professional Facility Modifier Low / Median / High Price $7,368.00 / $23,428.00 / $57,471.00	Facility		$7,368.00	$23,428.00	$57,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $323.31 / $573.90	Professional		$230.47	$323.31	$573.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $245.11 / $280.72	Professional		$245.11	$245.11	$280.72