Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $12,444.00	Facility		$668.00	$5,839.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.10 / $703.07 / $1,117.49	Professional		$540.10	$703.07	$1,117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,581.91 / $1,883.22	Facility		$695.00	$1,581.91	$1,883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.45 / $806.65 / $1,450.86	Professional		$520.45	$806.65	$1,450.86
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 $313.49 / $507.56 / $828.31	Professional		$313.49	$507.56	$828.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $556.73 / $985.35	Professional		$75.30	$556.73	$985.35
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 $482.00 / $680.62 / $1,272.93	Professional		$482.00	$680.62	$1,272.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $549.97 / $549.97	Professional		$549.97	$549.97	$549.97