Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.44 / $5,182.00 / $11,576.00	Facility		$453.44	$5,182.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,556.67 / $5,118.77 / $17,681.58	Facility	50	$2,556.67	$5,118.77	$17,681.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $514.47 / $779.94	Professional		$374.63	$514.47	$779.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $716.91 / $3,951.57 / $3,951.57	Professional	50	$716.91	$3,951.57	$3,951.57
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 $385.38 / $613.64 / $1,142.52	Professional		$385.38	$613.64	$1,142.52
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 $256.51 / $424.09 / $708.46	Professional		$256.51	$424.09	$708.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $439.49 / $816.16	Professional		$73.02	$439.49	$816.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.86 / $584.00 / $1,032.23	Professional		$426.86	$584.00	$1,032.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.86 / $456.78 / $456.78	Professional		$364.86	$456.78	$456.78