Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.39 / $2,815.00 / $10,632.00	Facility		$314.39	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $370.54 / $494.68	Professional		$294.29	$370.54	$494.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.77 / $323.00	Facility		$126.73	$128.77	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $469.26 / $722.57	Professional		$303.24	$469.26	$722.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $319.32 / $449.16	Professional		$152.63	$319.32	$449.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $277.96 / $563.70	Professional		$33.88	$277.96	$563.70
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $377.58 / $709.62	Professional		$272.06	$377.58	$709.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $305.44 / $305.44	Professional		$293.11	$305.44	$305.44