Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.31 / $4,755.00 / $13,066.00	Facility		$219.31	$4,755.00	$13,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $302.11 / $523.98	Professional		$189.09	$302.11	$523.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $12,361.00 / $54,020.00	Facility		$160.88	$12,361.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $385.93 / $796.46	Professional		$202.69	$385.93	$796.46
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $11,764.00 / $22,518.00	Facility		$6,078.00	$11,764.00	$22,518.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $264.31 / $533.46	Professional		$194.76	$264.31	$533.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $293.84 / $471.00	Professional		$205.20	$293.84	$471.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,748.00	Facility		$2,637.00	$8,267.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $392.60 / $674.23	Professional		$228.31	$392.60	$674.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $223.92 / $223.92	Professional		$193.03	$223.92	$223.92