Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $10,000.00	Facility		$812.83	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $363.08	Professional		$125.89	$151.36	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $436.52	Facility		$208.93	$213.80	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $346.74	Professional		$128.82	$190.55	$346.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $6,309.57	Facility		$1,905.46	$2,884.03	$6,309.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $288.40	Professional		$117.49	$131.83	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $257.04	Professional		$32.36	$138.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,548.82 / $4,168.69	Facility		$323.59	$1,548.82	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $338.84	Professional		$120.23	$169.82	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $154.88	Professional		$117.49	$117.49	$154.88