Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $5,053.00 / $11,624.00	Facility		$489.40	$5,053.00	$11,624.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,568.50 / $5,082.35 / $9,159.94	Facility	50	$2,568.50	$5,082.35	$9,159.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.82 / $554.65 / $842.54	Professional		$378.82	$554.65	$842.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $414.06 / $414.06 / $1,393.71	Professional	50	$414.06	$414.06	$1,393.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,022.68 / $1,217.48	Facility		$611.00	$1,022.68	$1,217.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $647.08 / $1,160.70	Professional		$416.00	$647.08	$1,160.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $5,731.00 / $11,037.00	Facility		$3,105.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $268.94 / $448.22 / $737.36	Professional		$268.94	$448.22	$737.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $446.89 / $850.61	Professional		$72.53	$446.89	$850.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,700.00 / $10,057.00	Facility		$1,681.00	$5,700.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.47 / $615.78 / $1,077.29	Professional		$453.47	$615.78	$1,077.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $533.91 / $533.91	Professional		$415.48	$533.91	$533.91