Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $5,182.00 / $11,576.00	Facility		$746.00	$5,182.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $1,737.15 / $2,888.14	Professional		$328.60	$1,737.15	$2,888.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $2,971.37 / $3,537.34	Facility		$323.00	$2,971.37	$3,537.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.69 / $1,557.82 / $3,640.26	Professional		$368.69	$1,557.82	$3,640.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,558.00 / $12,685.00 / $23,031.00	Facility		$5,558.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $932.52 / $1,465.38 / $2,365.48	Professional		$932.52	$1,465.38	$2,365.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.75 / $1,397.97 / $2,591.73	Professional		$224.75	$1,397.97	$2,591.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,620.96 / $2,220.59 / $3,680.02	Professional		$1,620.96	$2,220.59	$3,680.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.79 / $1,552.12 / $1,552.12	Professional		$337.79	$1,552.12	$1,552.12