Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,897.79 / $10,964.78	Facility		$263.03	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $371.54	Professional		$128.82	$218.78	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $245.47	Facility		$34.67	$141.25	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $457.09	Professional		$138.04	$245.47	$457.09
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 $123.03 / $208.93 / $302.00	Professional		$123.03	$208.93	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $363.08	Professional		$32.36	$120.23	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $371.54	Professional		$114.82	$194.98	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $309.03	Professional		$112.20	$194.98	$309.03