Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,025.60 / $13,803.84	Facility		$1,047.13	$6,025.60	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,096.48	Professional		$489.78	$588.84	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $12,302.69 / $53,703.18	Facility		$831.76	$12,302.69	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,230.27	Professional		$478.63	$724.44	$1,230.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $9,549.93	Facility		$2,691.53	$4,786.30	$9,549.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $630.96	Professional		$346.74	$446.68	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,585.78 / $12,022.64	Facility		$2,398.83	$7,585.78	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,047.13	Professional		$416.87	$575.44	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84