Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.48 / $4,755.00 / $11,550.00	Facility		$711.48	$4,755.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.99 / $772.12 / $1,291.29	Professional		$676.99	$772.12	$1,291.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,581.91 / $1,883.22	Facility		$494.00	$1,581.91	$1,883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.16 / $958.67 / $1,714.55	Professional		$658.16	$958.67	$1,714.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,790.00 / $12,742.00 / $23,031.00	Facility		$5,790.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $628.27 / $1,032.33	Professional		$329.85	$628.27	$1,032.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $695.01 / $1,221.82	Professional		$113.07	$695.01	$1,221.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,748.00	Facility		$2,637.00	$8,267.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.61 / $792.02 / $1,404.76	Professional		$562.61	$792.02	$1,404.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $697.70 / $697.70 / $697.70	Professional		$697.70	$697.70	$697.70