Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $9,549.93	Facility		$812.83	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $251.19	Professional		$100.00	$120.23	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $1,659.59	Facility		$194.98	$436.52	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $251.19	Professional		$95.50	$154.88	$251.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,238.72	Facility		$1,905.46	$2,041.74	$2,238.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $141.25	Professional		$67.61	$85.11	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,168.69	Facility		$346.74	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $223.87	Professional		$87.10	$125.89	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49