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 / $9,549.93	Facility		$812.83	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $380.19	Professional		$144.54	$177.83	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $436.52	Facility		$104.71	$107.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $407.38	Professional		$144.54	$213.80	$407.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $354.81	Professional		$131.83	$147.91	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $154.88 / $275.42	Professional		$32.36	$154.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,548.82 / $4,168.69	Facility		$263.03	$1,548.82	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $380.19	Professional		$138.04	$194.98	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78