Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $3,526.00 / $12,173.00	Facility		$254.26	$3,526.00	$12,173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $270.23 / $365.67	Professional		$240.53	$270.23	$365.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $695.00 / $695.00	Facility		$695.00	$695.00	$695.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $362.39 / $585.85	Professional		$241.60	$362.39	$585.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,921.98 / $2,050.11 / $2,216.67	Facility		$1,921.98	$2,050.11	$2,216.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $275.04 / $356.09	Professional		$134.72	$275.04	$356.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.03 / $342.25 / $510.85	Professional		$255.03	$342.25	$510.85
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 $217.35 / $305.72 / $528.05	Professional		$217.35	$305.72	$528.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $209.37 / $275.04	Professional		$209.37	$209.37	$275.04