Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $4,897.79 / $10,964.78	Facility		$162.18	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $199.53	Professional		$83.18	$114.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $173.78	Facility		$34.67	$77.62	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $213.80	Professional		$89.13	$131.83	$213.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $6,606.93	Facility		$2,137.96	$3,162.28	$6,606.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $181.97	Professional		$109.65	$117.49	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,584.89 / $4,168.69	Facility		$346.74	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23