Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,279.00 / $11,481.00	Facility		$377.00	$3,279.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $223.18 / $268.26	Professional		$144.80	$223.18	$268.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.19 / $1,938.04 / $2,307.19	Facility		$1,911.19	$1,938.04	$2,307.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.42 / $242.42 / $242.42	Professional		$242.42	$242.42	$242.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $193.25 / $208.95	Facility		$181.17	$193.25	$208.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $239.69 / $324.13	Professional		$109.18	$239.69	$324.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $507.12 / $609.23	Professional		$50.00	$507.12	$609.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $251.67 / $438.15	Professional		$178.10	$251.67	$438.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $327.02 / $327.02	Professional		$327.02	$327.02	$327.02