Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $4,897.79 / $10,964.78	Facility		$93.33	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $107.15	Professional		$41.69	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $83.18	Facility		$34.67	$44.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $162.18	Professional		$50.12	$83.18	$162.18
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 $58.88 / $61.66 / $79.43	Professional		$58.88	$61.66	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $3,890.45	Facility		$269.15	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $138.04	Professional		$44.67	$75.86	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $83.18	Professional		$39.81	$69.18	$83.18