Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.46 / $2,815.00 / $10,632.00	Facility		$425.46	$2,815.00	$10,632.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.32 / $319.10 / $343.79	Facility	54	$300.32	$319.10	$343.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.67 / $490.02 / $697.37	Professional		$405.67	$490.02	$697.37
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 $423.99 / $637.02 / $1,010.23	Professional		$423.99	$637.02	$1,010.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,406.00 / $4,241.00	Facility		$1,438.00	$2,406.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $477.28 / $627.91	Professional		$228.04	$477.28	$627.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $395.19 / $679.21	Professional		$70.42	$395.19	$679.21
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 $388.07 / $540.63 / $981.42	Professional		$388.07	$540.63	$981.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.90 / $413.11 / $413.11	Professional		$378.90	$413.11	$413.11