Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,456.54 / $21,877.62	Facility		$1,230.27	$6,456.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $288.40	Professional		$154.88	$194.98	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $25,118.86 / $42,657.95	Facility		$7,413.10	$25,118.86	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $389.05	Professional		$147.91	$229.09	$389.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $199.53	Professional		$109.65	$114.82	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $12,302.69 / $18,620.87	Facility		$4,365.16	$12,302.69	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $389.05	Professional		$147.91	$218.78	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89