Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $2,948.00 / $10,632.00	Facility		$292.95	$2,948.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $337.03 / $460.58	Professional		$240.53	$337.03	$460.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.33 / $245.21 / $323.00	Facility		$241.33	$245.21	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $407.07 / $692.32	Professional		$245.93	$407.07	$692.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $274.86 / $396.65	Professional		$163.12	$274.86	$396.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $244.12 / $451.20	Professional		$35.67	$244.12	$451.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $384.57 / $674.93	Professional		$274.42	$384.57	$674.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $288.26 / $288.26	Professional		$203.75	$288.26	$288.26